Provider Demographics
NPI:1356642797
Name:RAPRAEGER, JENNIFER (BA PSYCHOLOGY)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:RAPRAEGER
Suffix:
Gender:F
Credentials:BA PSYCHOLOGY
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N6390 RIVERTRAIL WAY
Mailing Address - Street 2:
Mailing Address - City:ONALASKA
Mailing Address - State:WI
Mailing Address - Zip Code:54650-9730
Mailing Address - Country:US
Mailing Address - Phone:608-385-7269
Mailing Address - Fax:
Practice Address - Street 1:1407 SAINT ANDREW ST
Practice Address - Street 2:STE 100
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54603-3301
Practice Address - Country:US
Practice Address - Phone:608-785-6266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator