Michelle D Jack, LCSW
NPI #1558754945 in Grand Island, Nebraska
Provider Information
- NPI Number
- 1558754945
- Entity Type
- Individual
- Name
- Michelle D Jack, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Mar 10, 2015
- Last Updated
- Mar 10, 2015
Practice Location
- Address
- 914 BAUMANN DR
- City
- Grand Island
- State
- Nebraska
- ZIP Code
- 68803-4401
- Phone
- (308) 385-5250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Social Worker - Clinical — Clinical |
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