Jaclyn Mickiewicz, LICSW
NPI #1295953461 in Shelburne Falls, Massachusetts
Provider Information
- NPI Number
- 1295953461
- Entity Type
- Individual
- Name
- Jaclyn Mickiewicz, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Apr 23, 2007
- Last Updated
- Oct 30, 2024
Practice Location
- Address
- 26 SEVERANCE ST
- City
- Shelburne Falls
- State
- Massachusetts
- ZIP Code
- 01370-1217
- Phone
- (413) 775-3432
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Social Worker - Clinical — Clinical |
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