Individual
JENNIFER WYGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
500 RIVERVIEW AVE, WAUKESHA, WI 53188-3632
(262) 548-7260
Mailing address
500 RIVERVIEW AVE, WAUKESHA, WI 53188-3632
(262) 548-7260
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8709-120
WI
Other
Enumeration date
12/15/2006
Last updated
02/13/2009
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