Individual
JASMIN JEDLICKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 E MEADOW GROVE BLVD, APPLETON, WI 54915-4504
(920) 470-1167
Mailing address
1025 E MEADOW GROVE BLVD, APPLETON, WI 54915-4504
(920) 470-1167
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
135110-121
WI
Other
Enumeration date
05/27/2024
Last updated
09/03/2024
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