Jennifer L Deloach, LCSW
NPI #1245240811 in Carbondale, Illinois
Provider Information
- NPI Number
- 1245240811
- Entity Type
- Individual
- Name
- Jennifer L Deloach, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Aug 8, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8609 GIANT CITY RD
- Address 2
- SUITE F
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62902-6238
- Phone
- (618) 351-8226
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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