Individual
JILL SANDRA MUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1442 N FARWELL AVE, MILWAUKEE, WI 53202-2996
(414) 276-3455
(414) 276-3460
Mailing address
3777 S WHITNALL AVE, MILWAUKEE, WI 53207-3931
(414) 769-9428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4073-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40932500
—
WI
Enumeration date
04/24/2007
Last updated
07/08/2007
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