Individual
JESSICA MUTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5228 W FOND DU LAC AVE, MILWAUKEE, WI 53216-1346
(414) 871-9111
Mailing address
1327 E COLORADO ST APT 7, MILWAUKEE, WI 53207-2268
(262) 470-6738
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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