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1013182419
JENNIFER J EBBOTT
MADISON, WI
NPI
1013182419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 7109-123)
Enumeration Date
2008-04-25
Last Update Date
2008-04-25
Business Address
-- JENNIFER J EBBOTT LCSW
831 E WASHINGTON AVE
MADISON, WI 53703-2935
Phone number: 608-255-7356
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Mailing Address
-- JENNIFER J EBBOTT LCSW
831 E WASHINGTON AVE
MADISON, WI 53703-2935
Phone number:
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