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1023740537
CARLA ELIZABETH JACKSON
BEND, OR
NPI
1023740537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L13163)
Enumeration Date
2022-06-24
Last Update Date
2022-06-24
Business Address
CARLA ELIZABETH JACKSON LCSW
2500 NE NEFF RD
BEND, OR 97701-6015
Phone number: 541-706-6363
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Mailing Address
CARLA ELIZABETH JACKSON LCSW
2500 NE NEFF RD
BEND, OR 97701-6015
Phone number: 541-706-6363
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