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1831661479
JACQUELYNE CISNEROS MEDINA
EL PASO, TX
NPI
1831661479
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Former Name
JACQUELYNE OLIVIA CISNEROS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 68577)
Enumeration Date
2018-12-20
Last Update Date
2023-10-18
Business Address
JACQUELYNE CISNEROS MEDINA LCSW
1551 MONTANA AVE
EL PASO, TX 79902-5668
Phone number: 915-757-7999
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Mailing Address
JACQUELYNE CISNEROS MEDINA LCSW
7417 LE CONTE DR
EL PASO, TX 79912-7129
Phone number: 915-887-3410
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