TINA JACKSON

HOLLOMAN AFB, NM
NPI1376968172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ND  4950)
Enumeration Date2014-03-03
Last Update Date2022-07-26
Business Address
TINA JACKSON LCSW
280 1ST ST BLDG 23
HOLLOMAN AFB, NM 88330-8273
Phone number: 575-572-5676
Mailing Address
TINA JACKSON LCSW
16351 I94 HOME ON THE RANGE
SENTINEL BUTTE, ND 58654-9500
Phone number: 701-872-3745
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