MR. Randy Jacquet, LCSW

NPI #1275700890 in Richland Center, Wisconsin

Provider Information

NPI Number: 1275700890
Entity Type: Individual
Name: MR. Randy Jacquet, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 13, 2008
Last Updated: May 13, 2008

Practice Location

Address: 221 W SEMINARY ST
City: Richland Center
State: Wisconsin
ZIP Code: 53581-2358
Phone: (608) 647-8821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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