Individual
JACLYN MACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5930 HEISLEY RD, MENTOR, OH 44060-1834
(440) 639-3509
Mailing address
5930 HEISLEY RD, MENTOR, OH 44060-1834
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1302158
OH
Other
Enumeration date
09/06/2012
Last updated
06/23/2014
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