Individual
JEANNIE GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 E SHERMAN AVE APT 415, COEUR D ALENE, ID 83814-5855
(509) 999-5657
Mailing address
2501 E SHERMAN AVE APT 415, COEUR D ALENE, ID 83814-5855
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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