KHANDIS JACKSON CLINE

VERO BEACH, FL
NPI1023650108
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: FL  CBHCM103665)
Enumeration Date2019-10-10
Last Update Date2021-09-27
Business Address
KHANDIS JACKSON CLINE CBHCM
755 27TH AVE SW STE 9
VERO BEACH, FL 32968-4210
Phone number: 850-519-6232
Mailing Address
KHANDIS JACKSON CLINE CBHCM
2050 13TH AVE STE 1761
VERO BEACH, FL 32960-4429
Phone number: 850-519-6232