| NPI | 1386836179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARIE SCHUTZ Licensed Independent Clinical Socia 920-684-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 290 123) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |