Individual
ALEDRA MESHARN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11925 SOUTHWEST FWY STE 5, STAFFORD, TX 77477-2300
(832) 460-5121
Mailing address
11925 SOUTHWEST FWY UNIT 3B, STAFFORD, TX 77477-2300
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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