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Individual

JENNIFER M BOSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
N19W24400 RIVERWOOD DR STE 350, WAUKESHA, WI 53188-1182
(414) 916-0555
Mailing address
N19W24400 RIVERWOOD DR, STE 350, PMB 467, WAUKESHA, WI 53188
(414) 916-0555

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7596-123
WI

Other

Enumeration date
07/14/2008
Last updated
12/23/2024
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