Individual
JEREMY EDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APSW
Contact information
Practice address
4517 WOODGATE DR, JANESVILLE, WI 53546-8203
(608) 580-0031
(608) 580-0038
Mailing address
4517 WOODGATE DR, JANESVILLE, WI 53546-8203
(608) 580-0031
(608) 580-0038
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131182
WI
Other
Enumeration date
08/16/2018
Last updated
07/14/2026
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