EDWIN BACALSO

THIENSVILLE, WI
NPI1023661659
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: WI  131474-121)
Enumeration Date2019-07-23
Last Update Date2024-05-07
Business Address
EDWIN BACALSO
13111 N PORT WASHINGTON RD
THIENSVILLE, WI 53097-2416
Phone number: 262-243-6127
Mailing Address
EDWIN BACALSO
5215 N IRONWOOD RD SUITE 202 PMB 1013
GLENDALE, WI 53217-2416
Phone number: 414-367-4447
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