Jacqueline Wallischeck

NPI #1588111637 in Wauseon, Ohio

Provider Information

NPI Number: 1588111637
Entity Type: Individual
Name: Jacqueline Wallischeck
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Sep 7, 2016
Last Updated: Sep 7, 2016

Practice Location

Address: 259 W ELM ST
City: Wauseon
State: Ohio
ZIP Code: 43567-1146
Phone: (419) 337-0130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Social Worker	104100000X	Primary

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