MICHAEL CARL SHORT

WAUKESHA, WI
NPI1588766208
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WI  1698-123)
Enumeration Date2006-09-02
Last Update Date2007-07-08
Business Address
-- MICHAEL CARL SHORT MSW,LCSW
741 N GRAND AVE
WAUKESHA, WI 53186-4820
Phone number: 262-542-3255
Mailing Address
-- MICHAEL CARL SHORT MSW,LCSW
741 N GRAND AVE
WAUKESHA, WI 53186-4820
Phone number: 262-542-3255
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