| Jennifer Lila | |
|
N64w24050 Main St Ste 207 Sussex WI 53089-3000 | |
| (262) 501-6533 | |
| (262) 462-0451 |
| Full Name | Jennifer Lila |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | N64w24050 Main St Ste 207, Sussex, Wisconsin |
| Authorized Official Name and Position | Jennifer N Lila (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2625016533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lila W245n6630 Bowling Green St Sussex WI 53089-2638 Ph: (262) 501-6533 | Jennifer Lila N64w24050 Main St Ste 207 Sussex WI 53089-3000 Ph: (262) 501-6533 |
| NPI Number | 1073343844 |
|---|---|
| Provider Enumeration Date | 08/06/2024 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073343844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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