Individual
JAZLYN NICOLE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 GLEN CROSSING RD, GLEN CARBON, IL 62034-1405
(888) 308-3728
Mailing address
2 PHEASANTWOOD DR APT H, BELLEVILLE, IL 62226-5743
(618) 402-8629
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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