Individual
JESSIE MICHELLE LOHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4806 27TH ST, KENOSHA, WI 53144-1360
(206) 399-0376
Mailing address
4806 27TH ST, KENOSHA, WI 53144-1360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2112-127
WI
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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