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Individual

MRS. JACQUELINE SIMONE MENARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4501 SNELL AVE, APT 1606, SAN JOSE, CA 95136-2346
(408) 648-8661
Mailing address
4501 SNELL AVE APT 1606, SAN JOSE, CA 95136-2358
(408) 648-8661

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
03/12/2007
Last updated
02/14/2013
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