Individual
JAMIE JO TEGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-8103
Mailing address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-8103
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
129554-121
WI
104100000X
Social Worker
1449
WI
Other
Enumeration date
03/07/2016
Last updated
12/12/2019
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