Jackie Higginbotham

NPI #1205690989 in Astoria, Oregon

Provider Information

NPI Number: 1205690989
Entity Type: Individual
Name: Jackie Higginbotham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Feb 12, 2024
Last Updated: Feb 12, 2024

Practice Location

Address: 1653 JEROME AVE
City: Astoria
State: Oregon
ZIP Code: 97103-3622
Phone: (971) 601-0791

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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