JACKIE FAITH SANDOVAL

FARMINGTON, NM
NPI1437530540
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NM  M-07749)
Enumeration Date2015-06-15
Last Update Date2015-06-15
Business Address
JACKIE FAITH SANDOVAL LMSW
1001 W BROADWAY
FARMINGTON, NM 87401-5638
Phone number: 505-326-2695
Mailing Address
JACKIE FAITH SANDOVAL LMSW
1001 W BROADWAY
FARMINGTON, NM 87401-5638
Phone number: 505-326-2695
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