Individual
STACEY JABERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3197 S 400 W, PERU, IN 46970-8889
(765) 470-2388
Mailing address
3197 S 400 W, PERU, IN 46970-8889
(765) 470-2388
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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