GEORGIA MIXDORF

WAUKESHA, WI
NPI1548600307
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  1341-123)
Enumeration Date2013-06-26
Last Update Date2013-06-26
Business Address
-- GEORGIA MIXDORF LSW
N14W23755 STONE RIDGE DR
WAUKESHA, WI 53188-1147
Phone number: 262-547-6557
Mailing Address
-- GEORGIA MIXDORF LSW
903 MAGNOLIA DR
WAUKESHA, WI 53188-2331
Phone number: 262-547-6557
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