Individual
MARY FRANCES JANDOUREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
4435 W LAWRENCE ST, APPLETON, WI 54914-4065
(920) 750-5553
Mailing address
4435 W LAWRENCE ST, APPLETON, WI 54914-4065
(920) 750-5553
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8100-120
WI
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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