SANDRA JACQUES

PORT WASHINGTON, WI
NPI1154312544
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  548123)
Enumeration Date2005-11-03
Last Update Date2007-07-08
Business Address
-- SANDRA JACQUES LCSW
121 W MAIN ST SUITE 350
PORT WASHINGTON, WI 53074-1813
Phone number: 262-284-8130
Mailing Address
-- SANDRA JACQUES LCSW
PO BOX 994 SUITE 350
PORT WASHINGTON, WI 53074-0994
Phone number: 262-284-8130