Jennifer Donnell Dial

NPI #1295357960 in O Fallon, Illinois

Provider Information

NPI Number
1295357960
Entity Type
Individual
Name
Jennifer Donnell Dial
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
May 15, 2020
Last Updated
Nov 27, 2023

Practice Location

Address
6 EAGLE CTR
ZIP Code
62269-1945
Phone
(618) 206-8816

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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