JACKIE DISPO

VALLEJO, CA
NPI1477700706
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-08-18
Last Update Date2008-08-18
Business Address
-- JACKIE DISPO
301 GEORGIA ST
VALLEJO, CA 94590-5946
Phone number: 707-558-8195
Mailing Address
-- JACKIE DISPO
301 GEORGIA ST
VALLEJO, CA 94590-5946
Phone number: 707-558-8195
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