MS. JACKIE JELLISON, LCSW

Social Worker - Clinical

Active Individual
NPI: 1851595961

Practice Address

960 E STATE ST
Cassopolis, MI 49031

Phone: (269) 445-2451

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 34005297A (IN)

Frequently Asked Questions

NPI 1851595961 is the National Provider Identifier for MS. JACKIE JELLISON, LCSW, a Social Worker - Clinical provider located in Cassopolis, MI. This NPI was enumerated on June 13, 2007.
MS. JACKIE JELLISON, LCSW practices at 960 E STATE ST, Cassopolis, MI 49031.

Quick Facts

NPI
1851595961
Type
Individual
Enumerated
Jun 13, 2007
Last Updated
Jul 8, 2007

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