Individual
MS. PATRICIA ANN JIROVETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-ATRL
Contact information
Practice address
N6687 WRIGHTWAY DR STE D, FOND DU LAC, WI 54937-8433
(920) 929-9140
(920) 929-9142
Mailing address
N6687 WRIGHTWAY DR STE D, FOND DU LAC, WI 54937-8433
(920) 929-9140
(920) 929-9142
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
29-036
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43735200
—
WI
Enumeration date
05/20/2008
Last updated
05/20/2008
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