Jacqueline Tndt Bao
Social Worker, Clinical in Lowell, MA. Individual provider (NPI-1).
NPI number1376263533
StatusActive
Last updated in NPPESOct 10, 2024
Details
- NPI
- 1376263533
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Tndt Bao
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2022
- Certification date
- Oct 10, 2024
- Last updated
- Oct 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 2120292 | MA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
40 Church StLowell, MA 01852-6113
Phone 978-674-6744
Mailing address
40 Church StLowell, MA 01852-6113
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