Jackie Marie Lelm, LICSW, MSW

NPI #1053354662 in Bismarck, North Dakota

Provider Information

NPI Number
1053354662
Entity Type
Individual
Name
Jackie Marie Lelm, LICSW, MSW
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Social Worker - Clinical
Credential
LICSW, MSW
Enumeration Date
Jun 13, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
1237 W DIVIDE AVE
Address 2
STE 5
ZIP Code
58501-1208
Phone
(701) 328-8843

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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