Jacqueline Carol Lane

NPI #1497552566 in Bradley, Illinois

Provider Information

NPI Number
1497552566
Entity Type
Individual
Name
Jacqueline Carol Lane
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Enumeration Date
Feb 26, 2025
Last Updated
Feb 26, 2025

Practice Location

Address
525 E NORTH ST
ZIP Code
60915-1185
Phone
(815) 322-7254

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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