Individual
JORDAN L ROZESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2940 CHAPEL VALLEY RD, FITCHBURG, WI 53711-6428
(608) 819-6390
(608) 807-5167
Mailing address
2940 CHAPEL VALLEY RD, FITCHBURG, WI 53711-6428
(608) 512-6109
(608) 807-5167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
8018-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100029476
—
WI
Enumeration date
09/22/2009
Last updated
07/21/2022
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