Individual
MRS. CARLA RAE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
741 N 1ST ST, WAUSAU, WI 54403-4721
(715) 675-3458
Mailing address
741 N 1ST ST, WAUSAU, WI 54403-4721
(715) 675-3458
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
130637-121
WI
1041C0700X
Clinical Social Worker
Primary
9217-123
WI
Other
Enumeration date
06/22/2017
Last updated
07/21/2022
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