Individual
MRS. JACQUELINE JEAN PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 S MULBERRY ST STE A, MOUNT VERNON, OH 43050-3331
(740) 326-9988
(740) 326-1175
Mailing address
206 S MULBERRY ST STE A, MOUNT VERNON, OH 43050-3331
(740) 501-1041
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1302386
OH
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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