Jennifer E Blease Valid NPI
Individual provider · Clinical Social Worker · Watertown, WI
- NPI
- 1720719834
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 12608-123 (WI)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2022-06-20
- Last updated
- 2026-05-19
Practice location
1153 Boughton St Apt 14g
Watertown, WI 53094-3112
(920) 285-7015