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Individual
MR. THOMAS DANIEL JACHULSKI
Active
Individual
MR. THOMAS DANIEL JACHULSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801097000
MI
1041C0700X
Clinical Social Worker
Primary
6801097000
MI
Other
Enumeration date
01/21/2015
Last updated
12/03/2019
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