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1033266796
JACKIE ANN EBBERT
SAN JOSE, CA
NPI
1033266796
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Other Name
JACKI ANN EBBERT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS10717)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
-- JACKIE ANN EBBERT
175 BERNAL RD STE 140
SAN JOSE, CA 95119-1343
Phone number: 408-972-3099
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Mailing Address
-- JACKIE ANN EBBERT
175 BERNAL RD STE 140
SAN JOSE, CA 95119-1343
Phone number: 408-972-3099
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