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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SANDRA JACQUES, LCSW

Active

SANDRA JACQUES, LCSW is a Clinical Social Worker healthcare provider located in PORT WASHINGTON, Wisconsin. NPI 1154312544 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PORT WASHINGTON, WI

Registration Details

NPI Number
1154312544
Provider Type
Individual
Gender
Female
NPI Issued
Nov 3, 2005 (20.736997118471 yrs)
Last Updated
Jul 8, 2007
License
548123 (WI)

Practice Information

Address
121 W MAIN ST
SUITE 350
PORT WASHINGTON, WI, 530741813
Browse WI providers · Browse ZIP 53074
Phone
2622848130
Fax
2622848104
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in PORT WASHINGTON, WI

Name Credential NPI
PAUL GRADY LCSW 1902897010
NANCY LATTON LCSW 1528059912
DAVID MERRIFIELD LCSW 1437140829
BETSY A KENDZIORSKI LCSW 1861446320
SANDRA E BLACK LCSW 1407803489
DENNIS J ANDERSON LCSW CADCIII 1265479257
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.