Individual
TIFFANI RAE LAJEUNESSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
409 LEONARD ST N, WEST SALEM, WI 54669-1235
(608) 780-7420
Mailing address
409 LEONARD ST N, WEST SALEM, WI 54669-1235
(608) 780-7420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
684434
WI
1041S0200X
School Social Worker
7172-123
WI
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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