RICHARD JACK, LCSW-R

LCSW-R

Clinical Social Worker

NPI: 1801803218Individual

Specialties, Licenses & Credentials

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

060855(NY)

Contact & Hours

Address: 102 RACE TRACK RD, SUITE 1
TICONDEROGA, NY 12883
Phone: (518) 585-6708

Quick Facts

NPI: 1801803218
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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