Jacqueline M Rancour in Dearborn - Clinical
Jacqueline M Rancour - NPI 1689858300
Jacqueline M Rancour is a Clinical in Dearborn, Michigan. Jacqueline M Rancour practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacqueline M Rancour is 1689858300. The last update date is 2020-07-09.
Jacqueline M Rancour's current location address is 22753 Nona St, Dearborn, Michigan. You can contact this provider via phone number 3133181237 and fax number 7342871660. The mailing address for Jacqueline M Rancour is 22753 Nona St, Dearborn, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline M Rancour |
|---|---|
| Address | 22753 Nona St, Dearborn, Michigan |
| Phone Number | 3133181237 |
| Fax Number | 7342871660 |
| Sole Proprietor | N |
| Credentials | L.M.S.W. |
NPI Number Detail
| NPI Number | 1689858300 |
|---|---|
| Provider Enumeration Date | 2007-12-18 |
| Last Updated Date | 2020-07-09 |
Provider Mailing Address Detail
| Address | 22753 Nona St |
|---|---|
| City | Dearborn |
| State | Michigan (MI) |
| Post Code | 481242621 |
| Phone Number | 3133181237 |
| Fax Number | 7342871660 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801084103 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique provider identifier assigned to Jacqueline M Rancour?
The Jacqueline M Rancour has been issued the NPI (National Provider Identifier) 1689858300 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jacqueline M Rancour?
The Jacqueline M Rancour is physically situated at 22753 Nona St, in the city of Dearborn, state of MI, with the postal code 481242621.
What is the Jacqueline M Rancour's specialty and taxonomy code?
The Jacqueline M Rancour's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Jacqueline M Rancour's 1689858300 issued?
The Jacqueline M Rancour's 1689858300 was issued on 2007-12-18.
As of what date was the information regarding Jacqueline M Rancour, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jacqueline M Rancour, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-07-09.