JACQUELYN BLOCK, MFT, LCSW, LMFT

MFT, LCSW, LMFT

Clinical Social Worker

NPI: 1336360429IndividualAccepts Medicare

Specialties, Licenses & Credentials

Marriage & Family Therapist

Marriage & Family Therapist

Code: 106H00000X

226-124(WI)

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

2841-123(WI)

CMS Specialties

PrimaryCLINICAL SOCIAL WORKER

Education

OTHER

Class of 1990

Contact & Hours

Address: 430 E DIVISION ST
FOND DU LAC, WI 54935
Phone: (920) 926-4209

Quick Facts

NPI: 1336360429
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 36

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