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Search › South Carolina › 104100000X

Lyle Jacks, LMSW

NPI 1043459084 · on the registry since 2009

Practice

Address
1807a E Main St
Easley, SC 29640
Phone
(864) 442-7482
Fax
(864) 306-7977
Organisation at this address
Prisma Health-Upstate
Baptist Easley Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-02-16

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 South Carolina