Individual
AISLINN JOLICOEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 N REO ST, TAMPA, FL 33609-1061
(813) 374-2070
(813) 337-0937
Mailing address
550 N REO ST, TAMPA, FL 33609-1061
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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