Individual
JENNIFER HELEN STANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
6321 23RD AVE, KENOSHA, WI 53143-4805
(414) 455-3879
Mailing address
6325 26TH AVE, KENOSHA, WI 53143-4705
(292) 300-9558
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
135296
WI
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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