Jaclyn Mickiewicz's National Provider Identifier (NPI) Details
Jaclyn Mickiewicz, LICSW
NPI: 1295953461
Enumeration Date: 2007-04-23
Last updated: 2024-10-30
Sole Proprietor: NO
Status: active
Postal Address: 26 SEVERANCE ST, SHELBURNE FALLS, MA
Phone: 413-775-3432
Primary Practice Address: 26 SEVERANCE ST, SHELBURNE FALLS, MA
Practice's phone: 413-775-3432