GERALD ALLAN THEIS

MILWAUKEE, WI
NPI1497779102
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  362-123)
Enumeration Date2006-07-26
Last Update Date2007-07-08
Business Address
-- GERALD ALLAN THEIS M.S.W.
6040 W LISBON AVE
MILWAUKEE, WI 53210-2116
Phone number: 414-871-9111
Mailing Address
-- GERALD ALLAN THEIS M.S.W.
6040 W LISBON AVE
MILWAUKEE, WI 53210-2116
Phone number: 414-871-9111