Individual
JESSE JONESBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3732 W WISCONSIN AVE, MILWAUKEE, WI 53208-3166
(414) 306-2306
Mailing address
3732 W WISCONSIN AVE, MILWAUKEE, WI 53208-3166
(414) 306-2306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2015044261
MO
1041C0700X
Clinical Social Worker
Primary
9388
WI
Other
Enumeration date
01/01/2021
Last updated
10/26/2023
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