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1306327416
JACLYN NICOLE BROOKS
LEBANON, OR
NPI
1306327416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2018-08-27
Last Update Date
2023-10-19
Business Address
JACLYN NICOLE BROOKS MS, LBA, BCBA
1600 S MAIN ST
LEBANON, OR 97355-3109
Phone number: 541-915-0787
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Mailing Address
JACLYN NICOLE BROOKS MS, LBA, BCBA
PO BOX 100
ALBANY, OR 97321-0031
Phone number: 541-915-0787
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