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Jeffrey Robert Darnell, LCSW

Social Worker, Clinical in Tomah, WI. Individual provider (NPI-1).

NPI number1922063965
StatusActive
Last updated in NPPESApr 28, 2010

Details

NPI
1922063965
Entity type
Individual (NPI-1)
Name
Mr. Jeffrey Robert Darnell
Credential
LCSW
Sex
Male
Sole proprietor
No
Enumeration date
Apr 20, 2006
Last updated
Apr 28, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical989488COYes
104100000X Social Worker989488CO

Practice location

500 E Veterans St
425/7
Tomah, WI 54660-3105

Phone 800-872-8662 · Fax 608-372-1779

Mailing address

24691 Embay Ave
Apt B
Tomah, WI 54660-4345

Phone 800-872-8662 · Fax 608-372-1779

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