PHOENIX VAN LAANEN

GREEN BAY, WI
NPI1609354166
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  10207)
Additional Taxonomies104100000X Social Worker
(Licence: WI  10207)
Enumeration Date2018-08-06
Last Update Date2025-06-04
Business Address
PHOENIX VAN LAANEN LCSW
300 CROOKS ST
GREEN BAY, WI 54301-4527
Phone number: 920-436-6800
Mailing Address
PHOENIX VAN LAANEN LCSW
2252 EASTMAN AVE
GREEN BAY, WI 54302-4674
Phone number: 920-680-4073