Individual
JESSICA BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N27W23957 PAUL RD, SUITE 101, PEWAUKEE, WI 53072-6223
(262) 278-4462
(815) 387-2599
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 391-5600
(815) 316-4726
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
17498130
WI
101Y00000X
Counselor
Primary
2834226
WI
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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