SearchSouth Carolina101YA0400X

Marie Jacka, LISW

NPI 1134327810 · on the registry since 2007 · sole proprietor

Practice

Address
1341 Old Field Rd
Lugoff, SC 29078
Phone
(803) 427-3241

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YM0800X
1041C0700X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-01-26

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