Individual
LAURA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 CHESTER ST, FRONT ROYAL, VA 22630-3391
(540) 486-8818
Mailing address
451 ORCHARD ST, STRASBURG, VA 22657-1940
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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