Individual
JACQUELINE DUCKSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2603 W RAWSON AVE, OAK CREEK, WI 53154-8422
(414) 207-9965
Mailing address
762 PINE ST, SHEBOYGAN FALLS, WI 53085-1533
(414) 914-8818
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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