Individual
JACQUELYN G BLUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 S LINCOLN ST, LOWELL, AR 72745-9782
(479) 770-0744
Mailing address
400 N OLIVER AVE, FAYETTEVILLE, AR 72701-3931
(479) 684-6990
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/26/2022
Last updated
02/26/2022
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