Individual
MS. JENNIFER MARIE KACZMARCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, MHPP
Contact information
Practice address
413 W TYLER AVE, WEST MEMPHIS, AR 72301-4149
(870) 733-1200
(870) 732-3269
Mailing address
1618 LATOURETTE LANE, APARTMENT C, JONESBORO, AR 72404
(614) 638-5212
(870) 732-3269
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
AR
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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