is a Clinical in Milwaukee, Wisconsin. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1548310444. The last update date is .
's current location address is Po Box 11947, Milwaukee, Wisconsin. You can contact this provider via phone number 4142593900 and fax number 4149630000. The mailing address for is Po Box 11947, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | Po Box 11947, Milwaukee, Wisconsin |
Phone Number | 4142593900 |
Fax Number | 4149630000 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1548310444 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | Po Box 11947 |
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City | Milwaukee |
State | Wisconsin (WI) |
Post Code | 532110947 |
Phone Number | 4142593900 |
Fax Number | 4149630000 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 1911-123 |
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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39288100 | WI | -- |
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