Mary M Determan, MSW LCSW
Social Worker, Clinical in Milwaukee, WI. Individual provider (NPI-1).
NPI number1003948522
StatusActive
Last updated in NPPESJan 29, 2018
Details
- NPI
- 1003948522
- Entity type
- Individual (NPI-1)
- Name
- Mary M Determan
- Credential
- MSW LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2007
- Last updated
- Jan 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 1174-123 | WI | Yes |
Practice location
5757 W Oklahoma AveSuite 203
Milwaukee, WI 53219-4303
Phone 414-431-6400 · Fax 414-431-6401
Mailing address
5757 W Oklahoma AveSte 203
Milwaukee, WI 53219-4303
Phone 414-431-6400 · Fax 414-431-6401
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