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Individual

MR. JOSE R JASSO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
224 WEST D.L. INGRAM AVE., BLDG. 1408, CANNON AFB, NM 88103-5014
(575) 784-1108
Mailing address
228 DOGWOOD DR, FALMOUTH, VA 22405-6111
(540) 834-3567

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2000149482
MO

Other

Enumeration date
09/24/2006
Last updated
02/16/2024
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