Individual provider · NPI-1

Jaclyn Michelle Abbate, LMSW

Social Worker, Clinical · Grand Rapids, MI

NPI number1144678210
StatusActive
Last updated in NPPESFeb 21, 2020

Details

NPI
1144678210
Entity type
Individual (NPI-1)
Name
Jaclyn Michelle Abbate
Credential
LMSW
Sex
Female
Sole proprietor
No
Enumeration date
May 31, 2016
Certification date
Feb 21, 2020
Last updated
Feb 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical6801099351MIYes

Practice location

1525 E Beltline Ave Ne Ste 204
Grand Rapids, MI 49525-4598

Phone 616-965-1200 · Fax 616-288-9045

Mailing address

1525 E Beltline Ave Ne Ste 204
Grand Rapids, MI 49525-4598

Phone 616-965-1200 · Fax 616-288-9045

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