Most Relevant Information
Provider Data
| NPI Number: | 1003268913 |
| Provider Name: | JACKELINE LAGUERRE MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 141397918 |
Most Important Dates
| Enumeration Date: | 07/05/2016 |
| Last Updated: | 07/05/2016 |
Provider Practice Location
3018 KINGSBRIDGE AVE APT 2N
BRONX
NY
104635107
Practice Location Phone/Fax
| Phone: | 6462710586 |
| Fax: |
Provider Mailing Location
3018 KINGSBRIDGE AVE APT 2N
BRONX
NY
104635107
Provider Mailing Phone/Fax
| Phone: | 6462710586 |
| Fax: |