Jaclyn Elaine Aldridge MSW, LSW

NPI 1316112147 - Social Worker - 104100000X

NPI Details
NPI 1316112147
Gender Female
Enumeration Date 04/23/2008
Last Updated 04/23/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1109 S LINCOLN AVE
URBANA IL, 61801-4703, US
Phone (217) 333-2705
Fax
Business Location
604 W JOHN ST
APARTMENT 1
CHAMPAIGN IL, 61820-5812, US
Phone (217) 840-8319
Fax
Toxanomy
Taxonomy Code 104100000X
License State Illinois
License Number 150.011456
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According to our database, Mrs. Jaclyn Elaine Aldridge MSW, LSW NPI is 1316112147, taxonomy code is 104100000X and license number is 150.011456, license state is located at Illinois. Jaclyn Elaine Aldridge MSW, LSW physically located at 1109 S Lincoln Ave, Urbana IL, 61801-4703. NPI Number Jaclyn Elaine Aldridge MSW, LSW has the Individual type.

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1316112147 NPI number is provided on an as is basis without warranty of any kind. 1316112147 is maintained by the National Plan & Provider Enumeration System. The contents of Jaclyn Elaine Aldridge MSW, LSW are for informational purposes only.