Individual
JACQUELYN MACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
320 COMMERCE AVE SW, GRAND RAPIDS, MI 49503-4101
(616) 258-7599
Mailing address
547 CHERRY ST SE APT 3G, GRAND RAPIDS, MI 49503-4749
(810) 305-3423
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
12/01/2022
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