Sandra Jacques, LCSW
NPI #1154312544 in Port Washington, Wisconsin
Provider Information
- NPI Number
- 1154312544
- Entity Type
- Individual
- Name
- Sandra Jacques, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Nov 3, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 121 W MAIN ST
- Address 2
- SUITE 350
- City
- Port Washington
- State
- Wisconsin
- ZIP Code
- 53074-1813
- Phone
- (262) 284-8130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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