Individual
JACLYN DECORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
394 S LAKE AVE STE 515, DULUTH, MN 55802-2325
(218) 206-6676
Mailing address
394 S LAKE AVE STE 515, DULUTH, MN 55802-2325
(218) 206-6676
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29463
MN
Other
Enumeration date
12/05/2018
Last updated
03/08/2024
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