Individual
KRISTA JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3329 N RICHMOND ST, APPLETON, WI 54911-1063
(920) 380-2720
Mailing address
3329 N RICHMOND ST, APPLETON, WI 54911-1063
(920) 380-2720
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8108
WI
Other
Enumeration date
12/27/2013
Last updated
12/27/2013
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