Individual
MS. MARIANNE T. JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2310 N MAIN ST, RACINE, WI 53402-4450
(262) 497-2420
Mailing address
2310 N MAIN ST, RACINE, WI 53402-4450
(262) 497-2420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7026-123
WI
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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