Individual
JEFFREY R COURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
212 11TH ST S, LA CROSSE, WI 54601-4116
(608) 392-9555
Mailing address
212 11TH ST S, LA CROSSE, WI 54601-4116
(608) 392-9555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1136
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39222500
—
WI
Enumeration date
06/14/2005
Last updated
05/01/2013
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