is a Clinical in Janesville, Wisconsin. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1336299478. The last update date is .
's current location address is 3506 N Us Highway 51, Janesville, Wisconsin. You can contact this provider via phone number 6087575859. The mailing address for is 3506 N Us Highway 51, Janesville, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 3506 N Us Highway 51, Janesville, Wisconsin |
Phone Number | 6087575859 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1336299478 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 3506 N Us Highway 51 |
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City | Janesville |
State | Wisconsin (WI) |
Post Code | 535450726 |
Phone Number | 6087575859 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 7154-123 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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40990700 | WI | -- |
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