Individual
JEFFREY H JENSWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW CICSW CADC
Contact information
Practice address
810 LINCOLN STREET, KEWAUNEE, WI 54216
(920) 388-7030
(920) 388-7044
Mailing address
810 LINCOLN STREET, KEWAUNEE, WI 54216
(920) 388-7030
(920) 388-7044
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11302
WI
104100000X
Social Worker
Primary
560132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40962100
—
WI
Enumeration date
08/07/2006
Last updated
07/08/2007
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