Individual
JACQUELINE MCNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3428 W MARKET ST, FAIRLAWN, OH 44333-3339
(330) 688-4041
Mailing address
340 HIGH ST APT B, WADSWORTH, OH 44281-1881
(330) 697-6042
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
04/19/2024
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