Individual
JENNIFER APRIL SOVEY FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS MSW LCSW
Contact information
Practice address
916 WILLARD DR STE 125E, GREEN BAY, WI 54304-0008
(920) 680-8087
Mailing address
916 WILLARD DR STE 125E, GREEN BAY, WI 54304-0008
(920) 680-8087
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7253-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43566800
—
WI
Enumeration date
10/25/2006
Last updated
05/05/2025
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