MS. Lyle Hendricks Jacks, LMSW
NPI #1043459084 in Easley, South Carolina
Provider Information
- NPI Number
- 1043459084
- Entity Type
- Individual
- Name
- MS. Lyle Hendricks Jacks, LMSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- LMSW
- Enumeration Date
- Feb 16, 2009
- Last Updated
- Feb 16, 2009
Practice Location
- Address
- 1807A E MAIN ST
- City
- Easley
- State
- South Carolina
- ZIP Code
- 29640-3841
- Phone
- (864) 442-7482
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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