Individual
JACKLYN ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 WASHINGTON ST BLDG P, NORWELL, MA 02061-1740
(781) 290-3886
Mailing address
18 P TREE LN, KINGSTON, MA 02364-1882
(339) 832-1125
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/30/2019
Last updated
06/30/2019
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