Individual
JACQEULYN HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2819 PECKHEATH RD SW APT D, WYOMING, MI 49509
(616) 773-8042
Mailing address
2819 PECKHEATH RD SW APT D, WYOMING, MI 49509-2971
(616) 773-8042
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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