| NPI | 1467859967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON E THYNE Licensed Clinical Social Worker 414-719-8398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 3113-123) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |