Individual
MS. KIM MCCANN JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2709 MARSHALL CT, MADISON, WI 53705-2255
(608) 231-3191
(608) 231-3108
Mailing address
2709 MARSHALL CT, MADISON, WI 53705-2255
(608) 231-3191
(608) 231-3108
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2454-123
WI
Other
Enumeration date
08/01/2006
Last updated
05/07/2010
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