Individual
JACKQUELINA ENGLISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUPERVISED THERAPIST
Contact information
Practice address
313 NUNNALLY DR, STOCKBRIDGE, GA 30281-7985
(404) 360-0069
Mailing address
313 NUNNALLY DR, STOCKBRIDGE, GA 30281-7985
(404) 360-0069
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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