JERROLD BERNARD ROUSSEAU

GLENDALE, WI
NPI1992915177
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  4219-123)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
Mr. JERROLD BERNARD ROUSSEAU MSSW, LCSW
6270 N PORT WASHINGTON RD SUITE 201
GLENDALE, WI 53217-4311
Phone number: 414-962-2284
Mailing Address
Mr. JERROLD BERNARD ROUSSEAU MSSW, LCSW
5671 N MILWAUKEE RIVER PKWY
GLENDALE, WI 53209-4564
Phone number: 414-228-9282
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