Individual
JESSICA DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17200 POINT LENA LOOP ROAD, JUNEAU, AK 99801
(907) 723-3778
Mailing address
PO BOX 210711, AUKE BAY, AK 99821-0711
(907) 723-3778
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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