Individual
JEAN M MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
444 N WESTHILL BLVD, APPLETON, WI 54914-5715
(920) 996-3298
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3298
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1848-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4392200
—
WI
Enumeration date
03/27/2007
Last updated
07/08/2007
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