MRS. Jaqueline Pack, LCSW
NPI #1235289380 in Farmington, Utah
Provider Information
- NPI Number
- 1235289380
- Entity Type
- Individual
- Name
- MRS. Jaqueline Pack, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jan 11, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1466 N HIGHWAY 89 STE 220
- City
- Farmington
- State
- Utah
- ZIP Code
- 84025-2738
- Phone
- (801) 451-0475
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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