| NPI | 1265641336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLEE SUE MALEN Lcsw 414-271-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 2604123) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |