Individual
MANDY R JESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
241 S MAIN ST STE 1, LUCK, WI 54853-7100
(715) 822-0690
Mailing address
987 CLAM FALLS DR, FREDERIC, WI 54837-4704
(715) 822-0690
(715) 822-0690
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
132286-121
WI
1041C0700X
Clinical Social Worker
Primary
11519-123
WI
Other
Enumeration date
11/11/2021
Last updated
01/04/2025
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