Individual
JEANNE LORETTE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
53585 NOKOMIS RD, ASHLAND, WI 54806-4272
(715) 682-7133
(715) 685-7857
Mailing address
53585 NOKOMIS RD, ASHLAND, WI 54806-4272
(715) 682-7133
(715) 685-7857
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4088
WI
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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