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1306251962
MARK JENSEN
MILWAUKEE, WI
NPI
1306251962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: WI 8012-123)
Enumeration Date
2014-06-23
Last Update Date
2014-06-23
Business Address
-- MARK JENSEN LCSW
2323 N LAKE DR
MILWAUKEE, WI 53211-4508
Phone number: 414-291-1620
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Mailing Address
-- MARK JENSEN LCSW
2323 N LAKE DR
MILWAUKEE, WI 53211-4508
Phone number:
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