Jacqueline Carol Lane
Jacqueline Carol Lane is a Clinical Social Worker in Bradley, Illinois. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
525 E North StBradley, IL 60915-1185
Phone: (815) 322-7254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1497552566 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 26, 2025 |
| Last updated in NPPES | February 26, 2025 |
| Certification date | February 26, 2025 |
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