Individual
ROGER H JAGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACSW MSW
Contact information
Practice address
2655 CTY HWY I, CHIPPEWA FALLS, WI 54729
(715) 720-9988
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2812
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39289400
—
WI
Enumeration date
08/29/2006
Last updated
11/17/2022
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