Individual
MRS. JENNIFER RUTH ZEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1716 FORDEM AVE, MADISON, WI 53704-4604
(608) 577-9995
Mailing address
1716 FORDEM AVE, MADISON, WI 53704-4604
(608) 577-9995
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7550-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317110800
—
MN
01
—
41-1576550
PRACTICE FED TAX ID#
—
Enumeration date
09/26/2006
Last updated
11/30/2011
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