Jewell Marie Breitengross BSW

NPI 1316066590 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1316066590
Gender Female
Enumeration Date 03/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
LA CROSSE WI, 54603-3301, US
Phone (608) 785-5576
Fax (608) 785-6315
Business Location
611 23RD ST N
LA CROSSE WI, 54601-3853, US
Phone (608) 796-0146
Taxonomy Code 171M00000X
License State Wisconsin
License Number 5337-120
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According to our database, Ms. Jewell Marie Breitengross BSW NPI is 1316066590, taxonomy code is 171M00000X and license number is 5337-120, license state is located at Wisconsin. Jewell Marie Breitengross BSW physically located at 1407 Saint Andrew St, La Crosse WI, 54603-3301. NPI Number Jewell Marie Breitengross BSW has the Individual type.

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1316066590 NPI number is provided on an as is basis without warranty of any kind. 1316066590 is maintained by the National Plan & Provider Enumeration System. The contents of Jewell Marie Breitengross BSW are for informational purposes only.