Grogan, Jaclyn

Grogan, Jaclyn is an individual health care provider with primary practice located at 2339 Classic Ct , Missoula MT 59801-1354. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Grogan, Jaclyn can be contacted via phone (406) 370-7211.

Contact Information

Primary practice address
2339 Classic Ct Missoula MT 59801-1354
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X BBH-LCSW-LIC-25464 Montana

Profile Details

NPI number 1124678180
LBN Legal business name Grogan, Jaclyn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2019
Last updated Sep 13th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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