Kayla Ann Jack
NPI #1093498578 in Shiprock, New Mexico
Provider Information
- NPI Number
- 1093498578
- Entity Type
- Individual
- Name
- Kayla Ann Jack
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - School
- Enumeration Date
- Aug 10, 2023
- Last Updated
- Sep 8, 2023
Practice Location
- Address
- US 491
- City
- Shiprock
- State
- New Mexico
- ZIP Code
- 87420
- Phone
- (505) 419-0294
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - School — School |
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