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1740549021
JESSICA L DORNER
KENOSHA, WI
NPI
1740549021
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Former Name
JESSICA L AUSTIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: WI 4432-125)
Enumeration Date
2012-05-08
Last Update Date
2017-01-23
Business Address
MRS. JESSICA L DORNER LPC
4633 WASHINGTON RD
KENOSHA, WI 53144-4220
Phone number: 262-652-7222
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Mailing Address
MRS. JESSICA L DORNER LPC
4633 WASHINGTON RD
KENOSHA, WI 53144-4220
Phone number: 262-652-7222
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