MRS. Jennifer Vanskyock, LCSW, LCAC

NPI #1912365875 in Portland, Indiana

Provider Information

NPI Number: 1912365875
Entity Type: Individual
Name: MRS. Jennifer Vanskyock, LCSW, LCAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW, LCAC
Enumeration Date: Feb 8, 2016
Last Updated: Aug 4, 2016

Practice Location

Address: 1758 W 100 S
City: Portland
State: Indiana
ZIP Code: 47371-8204
Phone: (260) 726-1960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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