JESSICA SANSOUCIE

MIDLAND, MI
NPI1578070124
Former NameJESSICA MATCZAK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: PA  CW021262)
Additional Taxonomies104100000X Social Worker
(Licence: MI  6801102083)
1041C0700X Social Worker, Clinical
(Licence: MI  6801106500)
Enumeration Date2018-01-04
Last Update Date2020-12-27
Business Address
JESSICA SANSOUCIE LCSW
218 FAST ICE DR
MIDLAND, MI 48642-6167
Phone number: 989-631-2320
Mailing Address
JESSICA SANSOUCIE LCSW
207 MCKEAN CT
NORTH WALES, PA 19454-1081
Phone number: 609-678-8007