Individual
MRS. JENNIFER ELIZABETH STROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
1317 W TOWNE SQUARE RD, MEQUON, WI 53092-5017
(262) 241-5099
Mailing address
1317 W. TOWNE SQUARE, MEQUON, WI 53092-5017
(262) 241-5099
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4722-125
WI
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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