Mandel, Jean M

Mandel, Jean M is an individual health care provider with primary practice located at 444 N Westhill Blvd , Appleton WI 54914-5715. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Mandel, Jean M can be contacted via phone (920) 996-3298.

Contact Information

Primary practice address
444 N Westhill Blvd Appleton WI 54914-5715
Phone: (920) 996-3298
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 1848-123 Wisconsin

Profile Details

NPI number 1336267160
LBN Legal business name Mandel, Jean M
Credentials Master of Science in Social Work (MSSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336267160 NPPES
Wisconsin MEDICAID 4392200

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