NPI 1043571169

Jessica Jean Buckley, BSW

Practitioner Case Manager/Care Coordinator La Crosse, WI

Practice location

Address: 1407 Saint Andrew St STE 100, La Crosse, WI 54603-3301
Phone: (608) 789-4837
Mailing address: 215 S Lincoln St, Shawano, WI 54166-2421

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X Licence 10976.120 (WI)

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Registry record

NPI: 1043571169
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2012
Record last updated: 5 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.