Individual
MRS. JEAN MARIE SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 NEBRASKA ST, STURGEON BAY, WI 54235-2249
(920) 746-2345
(920) 746-2439
Mailing address
421 NEBRASKA ST, STURGEON BAY, WI 54235-2249
(920) 746-2345
(920) 746-2439
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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