Individual
TRACY LYNN JURGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
1969 W HART RD, BELOIT, WI 53511-2230
(608) 364-5686
(608) 363-5756
Mailing address
2435 KING CV, BELVIDERE, IL 61008-7453
(815) 544-7707
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
WI
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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