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Ms. Jodi Mari Jensen, LBT
Specialist in Racine, Wisconsin
NPI 1558740530

Jodi Mari Jensen is a Specialist based in Racine, WI. Jodi Mari Jensen practices in Racine, WI and has the professional credentials of LBT. The NPI Number for Jodi Mari Jensen is 1558740530 and holds a License No. 2313-146 (Wisconsin).

The current practice location address for Jodi Mari Jensen is 2206 N Main St, Racine, WI and can be reached out via phone at 262-497-9780.

Location: 2206 N Main St, Racine, WI, 53402-4448
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558740530
Provider Name
Jodi Mari Jensen
Credential
LBT
Provider Entity Type
Individual
Gender
Female
Address
2206 N Main St, Racine, WI, 53402-4448
Phone Number
262-497-9780
Fax Number
Provider Enumeration Date
05/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2206 N Main St
City
Racine
State
Wisconsin
Zip
53402-4448
Phone Number
262-497-9780
Fax Number
person
Provider Business Mailing Address Details
Address
2206 N Main St
City
Racine
State
Wisconsin
Zip
53402-4448
Phone Number
262-497-9780
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2313-146 (Wisconsin)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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