Susan Marie Jaecques, LISW

NPI #1033210307 in Iowa City, Iowa

Provider Information

NPI Number: 1033210307
Entity Type: Individual
Name: Susan Marie Jaecques, LISW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LISW
Enumeration Date: Sep 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 507 E COLLEGE ST
City: Iowa City
State: Iowa
ZIP Code: 52240-5115
Phone: (319) 338-7884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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