CAROL A JACKSON

TAOS, NM
NPI1376826693
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TS0200X Psychologist, School
(Licence: NM  090906)
Enumeration Date2011-09-22
Last Update Date2011-09-22
Business Address
-- CAROL A JACKSON
110 PASEO DEL CANON W
TAOS, NM 87571-6743
Phone number: 575-779-6138
Mailing Address
-- CAROL A JACKSON
110 PASEO DEL CANON W
TAOS, NM 87571-6743
Phone number: 575-779-6138
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