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1497157218
JETTA MEADOWS
LAKEPORT, CA
NPI
1497157218
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Former Name
JETTA KEENEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2014-09-24
Last Update Date
2014-09-24
Business Address
-- JETTA MEADOWS ASW
149 N MAIN ST SUITE # 210
LAKEPORT, CA 95453-4832
Phone number: 707-262-0400
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Mailing Address
-- JETTA MEADOWS ASW
4520 HIGH CT
KELSEYVILLE, CA 95451-9347
Phone number: 530-864-5283
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