Individual
STEPHANIE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
816 GIRARD ST, HUDSON, WI 54016-1918
(612) 419-1172
Mailing address
816 GIRARD ST, HUDSON, WI 54016-1918
(612) 419-1172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
21224
MN
1041C0700X
Clinical Social Worker
Primary
8331-123
WI
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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