PAUL MICHAEL DEFAZIO

KENOSHA, WI
NPI1740326370
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  3123123)
Enumeration Date2007-01-30
Last Update Date2007-07-08
Business Address
Mr. PAUL MICHAEL DEFAZIO MSW
3734 7TH AVENUE SUITE 24
KENOSHA, WI 53140
Phone number: 262-654-0487
Mailing Address
Mr. PAUL MICHAEL DEFAZIO MSW
3734 7TH AVENUE SUITE 24
KENOSHA, WI 53140
Phone number: 262-654-0487
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