Individual
JENNIFER LYNN CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5900 MONONA DR, WATER TOWER PLACE SUITE 100, MONONA, WI 53716-3554
(608) 663-0763
(608) 663-0765
Mailing address
825 W JEFFERSON ST, STOUGHTON, WI 53589-2312
(828) 231-3339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7928-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005525880001
—
SC
Enumeration date
03/11/2008
Last updated
02/27/2014
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