Individual
JAMIE ANNE VANDER VELDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
23642 STATE ROAD 35 LOT 28, SIREN, WI 54872-8226
(715) 566-1699
Mailing address
23642 STATE ROAD 35 LOT 28, SIREN, WI 54872-8226
(715) 566-1699
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26706
MN
Other
Enumeration date
12/06/2019
Last updated
06/25/2024
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