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
- City
- Bismarck
- State
- North Dakota
- ZIP Code
- 58501-1208
- Phone
- (701) 328-8843
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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