Individual
JACQUELINE MARY BACLAWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8111 LYNDON B JOHNSON FWY STE 900, DALLAS, TX 75251-1322
(469) 845-9857
Mailing address
1311 STONE ST, JONESBORO, AR 72401-4523
(870) 932-6922
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/25/2010
Last updated
10/19/2023
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