Individual
JOKASHA E KLEST
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
314 NIAGARA AVE, SHEBOYGAN, WI 53081-4128
(920) 451-8667
Mailing address
314 NIAGARA AVE, SHEBOYGAN, WI 53081-4128
(920) 451-8667
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
617-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39226000
—
WI
Enumeration date
06/06/2006
Last updated
07/08/2007
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