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Search › California › 1041C0700X

Susan Jacky, ACSW

NPI 1942485768 · on the registry since 2007 · sole proprietor

Practice

Address
150 Muir Rd
11c-3
Martinez, CA 94553
Phone
(925) 372-2156
Fax
(925) 372-2017
Organisation at this address
Martinez Vamc
Martinez Vamc
Martinez Vamc
Department Of Veterans Affairs
Inferred from a shared address, not stated in the registry.
Clinicians at this address
300

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-12-31

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 California