Individual
JACLYNN MARY FRIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6131 NESBITT RD STE 200, FITCHBURG, WI 53719-1891
(608) 203-6267
Mailing address
1270 OKEEFFE AVE APT 220, SUN PRAIRIE, WI 53590-4235
(507) 210-7716
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1054-228
WI
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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