Individual
MRS. JACLYN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
42669 GARFIELD RD # 326, CLINTON TOWNSHIP, MI 48038-1653
(586) 412-5321
Mailing address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(248) 620-6400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801099725
MI
104100000X
Social Worker
Primary
6801108181
MI
1041C0700X
Clinical Social Worker
6801108181
MI
Other
Enumeration date
04/17/2015
Last updated
07/09/2021
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