JACLYN MICKIEWICZ, LICSW
Social Worker - Clinical
Active
Individual
NPI: 1295953461
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | No | - |
| Social Worker - Clinical | 1041C0700X | Yes | LICSW126010 (MA) |
Frequently Asked Questions
NPI 1295953461 is the National Provider Identifier for JACLYN MICKIEWICZ, LICSW, a Social Worker - Clinical provider located in Shelburne Falls, MA. This NPI was enumerated on April 23, 2007.
JACLYN MICKIEWICZ, LICSW practices at 26 SEVERANCE ST, Shelburne Falls, MA 01370.
Quick Facts
- NPI
- 1295953461
- Type
- Individual
- Enumerated
- Apr 23, 2007
- Last Updated
- Oct 30, 2024
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