Individual
MS. HELEN F JURGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW MSW
Contact information
Practice address
5508 W VLIET ST, MILWAUKEE, WI 53208-8003
(414) 476-1073
(414) 476-0223
Mailing address
PO BOX 080196, MILWAUKEE, WI 53208-8003
(414) 476-1073
(414) 476-0223
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW583123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
280196
VALUE OPTIONS
WI
Enumeration date
02/22/2007
Last updated
07/08/2007
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