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1134364136
CHERI KATHLEEN JACKSON
CLOVIS, NM
NPI
1134364136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041S0200X Social Worker School
(Licence: NM M-06393)
Enumeration Date
2008-12-05
Last Update Date
2008-12-05
Business Address
CHERI KATHLEEN JACKSON LMSW
1600 SUTTER PL
CLOVIS, NM 88101-4611
Phone number: 575-769-4490
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Mailing Address
CHERI KATHLEEN JACKSON LMSW
1910 S MAIN PL
PORTALES, NM 88130-7343
Phone number: 575-359-1848
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