Individual
MRS. KELLY MAUREEN JAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
800 WEST AVE S, LA CROSSE, WI 54601-8806
(608) 785-0940
Mailing address
200 1ST 200 1ST ST SW, ROCHESTER, MN 55905-0001
(608) 385-0414
(608) 392-5793
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9413-123
WI
Other
Enumeration date
09/16/2021
Last updated
10/05/2021
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