Jessica Marie Lietz

NPI #1649856576 in Jackson, Michigan

Provider Information

NPI Number: 1649856576
Entity Type: Individual
Name: Jessica Marie Lietz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 22, 2021
Last Updated: Mar 22, 2021

Practice Location

Address: 9123 KINCH RD
City: Jackson
State: Michigan
ZIP Code: 49201-8197
Phone: (734) 709-5561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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