person
Kayla Ann Jack
School Social Worker in Shiprock, New Mexico
NPI 1093498578

Kayla Ann Jack is a School Social Worker based in Shiprock, NM and is specialized in School. Kayla Ann Jack practices in Shiprock, NM. The NPI Number for Kayla Ann Jack is 1093498578 and holds a License No. SWB-2023-0550 (New Mexico).

The current practice location address for Kayla Ann Jack is Us 491, Shiprock, NM and can be reached out via phone at 505-419-0294. You can also correspond with Kayla Ann Jack through the mailing address at PO BOX 5036, SHIPROCK, NM - 87420-5036 (mailing address contact number: 505-419-0294).

Location: Us 491, Shiprock, NM, 87420-5036
person
Provider Profile Details
NPI Number
1093498578
Provider Name
Kayla Ann Jack
Credential
Provider Entity Type
Individual
Gender
Female
Address
Us 491, Shiprock, NM, 87420-5036
Phone Number
505-419-0294
Fax Number
Provider Enumeration Date
08/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Us 491
City
State
Zip
87420
Phone Number
505-419-0294
Fax Number
person
Provider Business Mailing Address Details
Address
Us 491
City
State
Zip
87420
Phone Number
505-419-0294
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
License No.
SWB-2023-0550 (New Mexico)
Definition
Definition to come...
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