Individual
MS. JENNIFER ELIZABETH POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 454-6773
(414) 454-6522
Mailing address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 454-6773
(414) 454-6522
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
WI-2666
WI
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41004300
—
WI
Enumeration date
08/25/2006
Last updated
03/28/2008
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