Individual
MRS. JENNIFER K CICERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2600 N MAYFAIR RD, STE 305, WAUWATOSA, WI 53226-1309
(414) 257-0233
(414) 257-3588
Mailing address
2600 N MAYFAIR RD, STE 305, WAUWATOSA, WI 53226-1309
(414) 257-0233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6896-123
WI
Other
Enumeration date
03/22/2014
Last updated
03/22/2014
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