Individual
DR. JACKELINE GUILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD, LCSW
Contact information
Practice address
2326 E 25TH ST, MISSION, TX 78574-7622
(956) 648-8720
Mailing address
2326 E 25TH ST, MISSION, TX 78574-7622
(956) 648-8720
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
55941
TX
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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