Individual
JENNY JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
101 W EDISON AVE STE 211, APPLETON, WI 54915-1395
(920) 215-4876
Mailing address
921 N OWAISSA ST, APPLETON, WI 54911-5228
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131570-121
WI
Other
Enumeration date
10/05/2019
Last updated
12/13/2020
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