LISA RENAE JEFFERSON

TOMAH, WI
NPI1538880356
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: WI  131995-121)
Enumeration Date2022-09-09
Last Update Date2022-09-09
Business Address
LISA RENAE JEFFERSON CAPSW
500 E VETERANS ST
TOMAH, WI 54660-3105
Phone number: 608-372-3971
Mailing Address
LISA RENAE JEFFERSON CAPSW
961 OAK AVE N
ONALASKA, WI 54650-2196
Phone number: 608-387-5493
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