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1700248655
JACLYN B STOCKHAM
REDLANDS, CA
NPI
1700248655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-03-21
Last Update Date
2021-04-26
Business Address
JACLYN B STOCKHAM SUDCC
1971 ESSEX CT
REDLANDS, CA 92373-8057
Phone number: 800-474-4848
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Mailing Address
JACLYN B STOCKHAM SUDCC
25612 BARTON RD # 286
LOMA LINDA, CA 92354-3110
Phone number: 800-474-4848
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