Individual
GRACIE ANNETTE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SWANNANOA RIVER RD, ASHEVILLE, NC 28805-2216
(828) 470-7267
Mailing address
235 GREENVILLE AVE UNIT 206, ARDEN, NC 28704-1116
(704) 600-7181
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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