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Individual

MS. JENNIFER HELENE GATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1225 W MITCHELL ST # 223, MILWAUKEE, WI 53204-3383
(414) 383-4455
(414) 727-8730
Mailing address
1225 W MITCHELL ST # 223, MILWAUKEE, WI 53204-3383
(414) 383-4455
(414) 727-8730

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
127071-121
WI
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43731800
WI
Enumeration date
02/19/2008
Last updated
01/10/2020
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