Individual
JASMINE LILLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 N MAIN ST, ASHLAND, OR 97520-1708
(503) 412-8678
Mailing address
508 N MAIN ST, ASHLAND, OR 97520-1708
(503) 412-8678
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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