Individual
JELENA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1717 TAYLOR AVE, RACINE, WI 53403-2405
(262) 638-6748
Mailing address
1717 TAYLOR AVE, RACINE, WI 53403-2405
(262) 638-6748
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8893-123
WI
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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