| NPI | 1477802460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET MARIE PATTERSON Licensed Clinical Social Worker 262-337-1437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7871-123) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |