Individual
CIERRA JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2370 QUINLAND LAKE RD STE 140, COOKEVILLE, TN 38506-7518
(931) 559-9222
Mailing address
2370 QUINLAND LAKE RD STE 140, COOKEVILLE, TN 38506-7518
(931) 559-9222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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