Most Relevant Information
Provider Data
| NPI Number: | 1003317470 |
| Provider Name: | JACLYN SKALNIK LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 8708 |
Most Important Dates
| Enumeration Date: | 02/21/2018 |
| Last Updated: | 01/28/2022 |
Provider Practice Location
620 S 76TH ST STE 240
MILWAUKEE
WI
532141599
Practice Location Phone/Fax
| Phone: | 4133678070 |
| Fax: |
Provider Mailing Location
620 S 76TH ST STE 240
MILWAUKEE
WI
532141599
Provider Mailing Phone/Fax
| Phone: | 4133678070 |
| Fax: |