JEANINE S FAIR

PORTAGE, WI
NPI1174551774
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  3127-123)
Enumeration Date2006-06-30
Last Update Date2007-07-08
Business Address
-- JEANINE S FAIR MSW, CICSW
2901 HUNTERS TRL
PORTAGE, WI 53901-3403
Phone number: 608-742-5518
Mailing Address
-- JEANINE S FAIR MSW, CICSW
2901 HUNTERS TRL PO BOX 301
PORTAGE, WI 53901-3403
Phone number: 608-742-5518
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