Individual
JACLYN GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1636 N WELLS ST APT 1801, CHICAGO, IL 60614-6015
(847) 641-0811
Mailing address
1636 N WELLS ST APT 1801, CHICAGO, IL 60614-6015
(847) 641-0811
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.102640
IL
Other
Enumeration date
09/29/2017
Last updated
07/21/2022
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