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1023650108
KHANDIS JACKSON CLINE
VERO BEACH, FL
NPI
1023650108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: FL CBHCM103665)
Enumeration Date
2019-10-10
Last Update Date
2021-09-27
Business Address
KHANDIS JACKSON CLINE CBHCM
755 27TH AVE SW STE 9
VERO BEACH, FL 32968-4210
Phone number: 850-519-6232
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Mailing Address
KHANDIS JACKSON CLINE CBHCM
2050 13TH AVE STE 1761
VERO BEACH, FL 32960-4429
Phone number: 850-519-6232
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