Individual
MR. JEFFREY ROBERT DARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
500 E VETERANS ST, 425/7, TOMAH, WI 54660-3105
(800) 872-8662
(608) 372-1779
Mailing address
24691 EMBAY AVE, APT B, TOMAH, WI 54660-4345
(800) 872-8662
(608) 372-1779
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
989488
CO
1041C0700X
Clinical Social Worker
Primary
989488
CO
Other
Enumeration date
04/20/2006
Last updated
04/28/2010
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