MICHAEL STACK

specializing in behavior technician in Jackson, Mississippi

NPI: 1013618065

Provider Type

1

Practice Locations

Mailing Location

1606 LAUREL ST

JACKSON, MS 39202

📞 6019424089

Practice Location

1513 LAKELAND DR

JACKSON, MS 39216

📞 7697771000

Provider Information

Gender:M
Sole Proprietor:No
Enumeration Date:3/16/2023
Last Updated:3/16/2023

Credentials

Primary Credential:
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