Individual
JESSICA MARIE DONALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49 ORPHANAGE RD APT 3, FORT MITCHELL, KY 41017-3023
(859) 628-5214
Mailing address
49 ORPHANAGE RD APT 3, FORT MITCHELL, KY 41017-3023
(859) 628-5214
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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