Individual
BARBARA ANN JAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1407 SAINT ANDREW ST, STE 100, LA CROSSE, WI 54603-3301
(608) 785-5856
(608) 785-6315
Mailing address
1407 SAINT ANDREW ST, STE 100, LA CROSSE, WI 54603-3301
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1475-127
WI
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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