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Individual

JACQUELYN MAKELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MAE PPS

Contact information

Practice address
612 DEL MAR AVE, VALLEJO, CA 94589-2605
(707) 556-8420
Mailing address
236 PARK LN, VACAVILLE, CA 95687-6673

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
CA

Other

Enumeration date
09/04/2025
Last updated
09/04/2025
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