Elsie V Jacques, MSW

NPI #1720336290 in Glendale, New York

Provider Information

NPI Number: 1720336290
Entity Type: Individual
Name: Elsie V Jacques, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Credential: MSW
Enumeration Date: Aug 15, 2012
Last Updated: Aug 15, 2012

Practice Location

Address: 8866 MYRTLE AVE
Address 2: LITTLE WONDERS, INC.
City: Glendale
State: New York
ZIP Code: 11385-7857
Phone: (718) 850-0040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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