JACKIE HIGGINBOTHAM

ASTORIA, OR
NPI1205690989
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2024-02-12
Last Update Date2024-02-12
Business Address
JACKIE HIGGINBOTHAM
1653 JEROME AVE
ASTORIA, OR 97103-3622
Phone number: 971-601-0791
Mailing Address
JACKIE HIGGINBOTHAM
403 ALAMEDA AVE
ASTORIA, OR 97103-6301
Phone number: 360-518-5918