Individual
JACQUELINE LEE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1517 CHERRY HILL RD SW, CONYERS, GA 30094-6812
(470) 709-8742
(000) 000-0000
Mailing address
1559 JANMAR RD, SNELLVILLE, GA 30078-5606
(770) 336-7373
(770) 336-7374
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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