Individual
MS. JILL COLLEEN NOWLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW.
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-5877
(262) 434-5809
Mailing address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-5877
(262) 434-5809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7243-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43592300
—
WI
Enumeration date
07/10/2006
Last updated
07/11/2012
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