Individual
JACALYN WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2081 TRAILWOOD DR, BILOXI, MS 39532-4218
(919) 988-0605
Mailing address
2081 TRAILWOOD DR, BILOXI, MS 39532-4218
(919) 988-0605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
101064
CA
1041C0700X
Clinical Social Worker
Primary
C013080
NC
1041C0700X
Clinical Social Worker
C10008
MS
Other
Enumeration date
10/21/2018
Last updated
01/25/2022
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