Individual
AMY JO CESHKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N1664 GENEVA AVE, LAKE GENEVA, WI 53147-4066
(262) 325-5569
Mailing address
N1664 GENEVA AVE, LAKE GENEVA, WI 53147-4066
(262) 325-5569
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.021362
IL
1041C0700X
Clinical Social Worker
149021362
IL
1041C0700X
Clinical Social Worker
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Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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