Individual
JESSICA M WRIEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, APSW
Contact information
Practice address
93 W GENEVA ST, WILLIAMS BAY, WI 53191-9518
(262) 607-6390
Mailing address
6250 STATE ROAD 11, ELKHORN, WI 53121-4228
(262) 903-7093
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
WI
1041C0700X
Clinical Social Worker
Primary
8989
WI
Other
Enumeration date
04/12/2016
Last updated
10/30/2018
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