SANDRA JACQUES, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1154312544
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 548123 (WI) |
Frequently Asked Questions
NPI 1154312544 is the National Provider Identifier for SANDRA JACQUES, LCSW, a Social Worker - Clinical provider located in Port Washington, WI. This NPI was enumerated on November 3, 2005.
SANDRA JACQUES, LCSW practices at 121 W MAIN ST, SUITE 350, Port Washington, WI 53074.
Quick Facts
- NPI
- 1154312544
- Type
- Individual
- Enumerated
- Nov 3, 2005
- Last Updated
- Jul 8, 2007
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