Individual
MCKENZIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2040 FITZHUGH ST, BATESVILLE, AR 72501-7409
(870) 793-3334
Mailing address
2040 FITZHUGH ST, BATESVILLE, AR 72501-7409
(870) 793-3334
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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