Individual
DEBRA JODARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
N4107 13TH LN, WAUTOMA, WI 54982-5361
(920) 787-2725
Mailing address
N4107 13TH LN, WAUTOMA, WI 54982-5361
(920) 787-2725
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4990-125
WI
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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