MARY ELLEN JACKS

HUDSON, WI
NPI1548278203
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: WI  617-124)
Enumeration Date2006-08-04
Last Update Date2007-07-08
Business Address
-- MARY ELLEN JACKS M.S.
401 STAGELINE RD SUITE 7
HUDSON, WI 54016-7897
Phone number: 715-531-6760
Mailing Address
-- MARY ELLEN JACKS M.S.
1196 QUINLAN AVE S
LAKELAND, MN 55043-9527
Phone number: 651-436-1606