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Individual

MS. ANN JACKLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW CSW

Contact information

Practice address
14 HARWOOD CT, 420, SCARSDALE, NY 10583
(914) 725-7985
(914) 328-1789
Mailing address
14 HARWOOD CT, SUITE 420, SCARSDALE, NY 10583
(914) 725-7985
(914) 328-1789

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R24674
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R24674
NY STATE LICENSURE
Enumeration date
08/15/2007
Last updated
08/21/2007
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