Individual
JERRY RYAN MORRIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APSW
Contact information
Practice address
1905 CENTER AVE STE 170, JANESVILLE, WI 53546-2805
(262) 652-2406
Mailing address
6233 39TH AVE, KENOSHA, WI 53142-7015
(262) 652-1004
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
134742
WI
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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