Individual
CAITLIN ROSE JACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10806 W FREISTADT RD, MEQUON, WI 53097-2502
(847) 757-5966
Mailing address
10806 W FREISTADT RD, MEQUON, WI 53097-2502
(847) 757-5966
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149020599
IL
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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