SARA N JETTAWI

KENOSHA, WI
NPI1447912480
Former NameSARA SALZMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WI  10456-125)
Additional Taxonomies101YP2500X Counselor Professional
(Licence: WI  10456-125)
104100000X Social Worker
(Licence: WI  5035-226)
Enumeration Date2021-10-07
Last Update Date2024-06-04
Business Address
SARA N JETTAWI LPC
2108 63RD ST
KENOSHA, WI 53143-4454
Phone number: 262-652-2406
Mailing Address
SARA N JETTAWI LPC
6233 39TH AVE
KENOSHA, WI 53142-7015
Phone number: 262-654-1004