Individual
JACLYN MARIE LAVERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
499 RANGE RD, MARYSVILLE, MI 48040-2220
(810) 455-4203
Mailing address
1646 NEW JERSEY AVE, MARYSVILLE, MI 48040-1656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801117855
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
05/09/2026
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