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1760191803
SOMER JACKSON
POPLAR BLUFF, MO
NPI
1760191803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: MO 15674)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2022-11-17
Last Update Date
2024-09-20
Business Address
SOMER JACKSON
3001 WARRIOR LN
POPLAR BLUFF, MO 63901-8685
Phone number: 573-686-1200
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Mailing Address
SOMER JACKSON
3001 WARRIOR LN
POPLAR BLUFF, MO 63901-8685
Phone number: 573-686-1200
Copy
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