KAYLA ANN JACK

SHIPROCK, NM
NPI1093498578
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041S0200X Social Worker, School
(Licence: NM  SWB-2023-0550)
Enumeration Date2023-08-10
Last Update Date2023-09-08
Business Address
KAYLA ANN JACK
US 491
SHIPROCK, NM 87420
Phone number: 505-419-0294
Mailing Address
KAYLA ANN JACK
PO BOX 5036
SHIPROCK, NM 87420-5036
Phone number: 505-419-0294
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