Individual
GARCIA JACOBS HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5175 OLD CLEMMONS SCHOOL ROAD, WINSTON SALEM, NC 27102
(704) 780-4271
(888) 261-6694
Mailing address
3632 LAKEFIELD DR APT C, GREENSBORO, NC 27406-5859
(336) 772-2381
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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