Organization
BEARLY ARTICULATING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE WASHINGTON M.ED. (CHIEF EXECUTIVE OFFICER)
(769) 257-0783
Entity
Organization
Contact information
Practice address
5640 KEELE ST APT A23, JACKSON, MS 39206-3631
(769) 257-0783
Mailing address
5640 KEELE ST APT A23, JACKSON, MS 39206-3631
(769) 257-0783
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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