Individual
MS. ANN JACKLER
Active
Individual
MS. ANN JACKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW CSW
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
Update your record
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