Individual
KALEIGH NICOLE JEWETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2522 NUTTER PARK DR, DAYTON, OH 45434-3500
(937) 306-8811
Mailing address
4628 QUEENS AVE, DAYTON, OH 45406-3232
(326) 202-8872
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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