Individual
TIA S JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 N 26TH ST APT 202, MILWAUKEE, WI 53233-2538
(262) 309-9962
Mailing address
505 N 26TH ST APT 202, MILWAUKEE, WI 53233-2538
(262) 309-9962
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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