Individual
JESSICA L KURZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
N27W23960 PAUL RD STE 206, PEWAUKEE, WI 53072
(262) 290-5525
Mailing address
N71W29672 TAMRON LN, HARTLAND, WI 53029-9249
(262) 873-0817
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8715-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8715-123
WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
01/30/2008
Last updated
08/14/2018
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