Individual
JACLYN SUE SLESAREVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW, LCSW, CSAC
Contact information
Practice address
524 W VERONA AVE STE 105, VERONA, WI 53593-1443
(608) 845-2081
(608) 845-2065
Mailing address
524 W VERONA AVE STE 105, VERONA, WI 53593-1443
(608) 845-2081
(608) 845-2065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9156-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100093506
—
WI
Enumeration date
10/26/2018
Last updated
02/05/2026
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