JACKIE ANNE MORENO

DEMING, NM
NPI1982122248
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: NM  M-09535)
Enumeration Date2017-09-06
Last Update Date2017-09-06
Business Address
JACKIE ANNE MORENO LMSW
415 W HEMLOCK ST
DEMING, NM 88030-3622
Phone number: 575-545-2459
Mailing Address
JACKIE ANNE MORENO LMSW
2605 S GOLD AVE
DEMING, NM 88030-6507
Phone number: 575-545-8171
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