Jacqueline Id-Deen
NPI #1023664539 in West Springfield, Massachusetts
Provider Information
- NPI Number
- 1023664539
- Entity Type
- Individual
- Name
- Jacqueline Id-Deen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Enumeration Date
- Aug 12, 2019
- Last Updated
- Aug 12, 2019
Practice Location
- Address
- 103 MYRON ST STE A
- City
- West Springfield
- State
- Massachusetts
- ZIP Code
- 01089-1485
- Phone
- (413) 592-1980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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