Clark, Jenna M

Clark, Jenna M is an individual health care provider with primary practice located at 1445 N 4Th St , New Richmond WI 54017-1063. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Clark, Jenna M can be contacted via phone (715) 246-6991.

Contact Information

Primary practice address
1445 N 4Th St New Richmond WI 54017-1063
Phone: (715) 246-6991
Fax: (715) 246-8440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 10125-120 Wisconsin

Profile Details

NPI number 1265757736
LBN Legal business name Clark, Jenna M
Credentials SW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2010
Last updated Mar 29th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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