Individual
JESSICA REBECCA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217 N MADISON ST STE 4, GREEN BAY, WI 54301-5103
(920) 327-9124
Mailing address
217 N MADISON ST STE 4, GREEN BAY, WI 54301-5103
(920) 327-9124
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WI
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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