Individual
JESSICA LACOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
512 OLD PEACE VALLEY RD, ASH FLAT, AR 72513-9859
(870) 847-3919
Mailing address
512 OLD PEACE VALLEY RD, ASH FLAT, AR 72513-9859
(870) 847-3919
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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