Individual
JENNIFER A JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1216 9TH ST, LAS VEGAS, NM 87701-4055
(505) 425-8120
Mailing address
27C CALLE PELIGROSO, SANTA FE, NM 87505-9340
(505) 577-2692
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NM
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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