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Individual

DR. JEAN ANN WARRIOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH D

Contact information

Practice address
1118 PROFESSIONAL DR, DODGEVILLE, WI 53533-1176
(608) 935-2838
(608) 935-9227
Mailing address
1118 PROFESSIONAL DR, DODGEVILLE, WI 53533-1176
(608) 935-2838
(608) 935-9227

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1165057
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
391612972011
BCBS FACILITY #
05
4220040039079100
WI
01
447250008
MEDICARE RICHLAND COUNTY H&HS
WI
01
52612210115
DEAN CARE FACILITY PROVID
01
849700001
DODGEVILLE
Enumeration date
07/25/2006
Last updated
08/22/2011
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