Individual
JESSICA GLAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
1245 CHEYENNE AVE STE 200, GRAFTON, WI 53024-9323
(414) 254-8403
Mailing address
1926 N GREEN BAY RD, GRAFTON, WI 53024-9644
(414) 254-8403
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
130532121
WI
1041C0700X
Clinical Social Worker
Primary
10002-123
WI
Other
Enumeration date
05/05/2017
Last updated
05/08/2025
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