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Individual

JESSICA BEAUCHAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
N4283 STATE HIGHWAY 180, MARINETTE, WI 54143-9366
(715) 938-5428
Mailing address
N4283 STATE HIGHWAY 180, MARINETTE, WI 54143-9366

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7891-123
WI

Other

Enumeration date
10/22/2010
Last updated
03/26/2016
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