Jacalyn Sue Lasich, MSW
Social Worker, Clinical in Traverse City, MI. Individual provider (NPI-1).
NPI number1487909396
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1487909396
- Entity type
- Individual (NPI-1)
- Name
- Jacalyn Sue Lasich
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2012
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801089753 | MI | Yes |
Practice location
217 S Madison StreetTraverse City, MI 49684-2320
Phone 231-392-8400 · Fax 231-935-7888
Mailing address
1414 W Fair AveSte 332
Marquette, MI 49855-5407
Phone 231-935-6080 · Fax 231-935-6081
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