MICHELLE D JACK

GRAND ISLAND, NE
NPI1558754945
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NE  657)
Additional Taxonomies101YP2500X Counselor Professional
(Licence: NE  1164)
Enumeration Date2015-03-10
Last Update Date2015-03-10
Business Address
MICHELLE D JACK LCSW
914 BAUMANN DR
GRAND ISLAND, NE 68803-4401
Phone number: 308-385-5250
Mailing Address
MICHELLE D JACK LCSW
914 BAUMANN DR
GRAND ISLAND, NE 68803-4401
Phone number: 308-385-5250