Jaclyn Lydiksen, LSW

NPI #1144797663 in Hines, Illinois

Provider Information

NPI Number: 1144797663
Entity Type: Individual
Name: Jaclyn Lydiksen, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Nov 2, 2018
Last Updated: Nov 2, 2018

Practice Location

Address: 5000 S 5TH AVE
City: Hines
State: Illinois
ZIP Code: 60141-3030
Phone: (708) 202-2716

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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