Individual
JENNIFER BLIEFERNICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11904 W NORTH AVE, SUITE 110, WAUWATOSA, WI 53226-2062
(414) 258-4318
Mailing address
11904 W NORTH AVE, SUITE 110, WAUWATOSA, WI 53226-2062
(414) 258-4318
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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