Most Relevant Information
Provider Data
| NPI Number: | 1003468885 |
| Provider Name: | JACQUELINE MARIE PIERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 225600000X |
| Specialty: | Dance Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/11/2019 |
| Last Updated: | 07/11/2019 |
Provider Practice Location
231 OAK MEADOW DR
ATHENS
GA
306054552
Practice Location Phone/Fax
| Phone: | 7062011193 |
| Fax: |
Provider Mailing Location
231 OAK MEADOW DR
ATHENS
GA
306054552
Provider Mailing Phone/Fax
| Phone: | 7062011193 |
| Fax: |