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Jacqueline Jancek, CLC

NPI 1023672748 · on the registry since 2019 · sole proprietor

Practice

Address
310 Wendel Ave
Lithia, FL 33547
Phone
(813) 520-8984

Registry record

Primary taxonomy
174N00000X
174N00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida