NPI 1093498578

Kayla Ann Jack

Practitioner School Social Worker Shiprock, NM

Practice location

Address: US 491, Shiprock, NM 87420
Phone: (505) 419-0294
Mailing address: PO Box 5036, Shiprock, NM 87420-5036

Registered specialties

School Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041S0200X Licence SWB-2023-0550 (NM)

Other Social Worker providers in New Mexico →

Registry record

NPI: 1093498578
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2023
Record last updated: 8 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.