Individual
JAMIE ENGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3061 PLEASANT ST, 216, SUN PRAIRIE, WI 53590
(515) 451-5956
Mailing address
3061 PLEASANT ST APT 216, SUN PRAIRIE, WI 53590-7056
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9186
FL
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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