Individual
JENNIFER RAE GOZDZIALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.C.
Contact information
Practice address
810 LINCOLN ST, KEWAUNEE, WI 54216-1140
(920) 388-7044
(920) 388-7044
Mailing address
810 LINCOLN ST, KEWAUNEE, WI 54216-1140
(920) 388-7044
(920) 388-7044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1681-226
WI
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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