| NPI | 1770889354 |
|---|---|
| Professional Name | JACQUE LYNN TAGUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 7528) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KS 378) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2013-12-06 |