Living For Liberation
Social Worker, Clinical in Beaver Dam, WI. Organization (NPI-2).
NPI number1194423830
StatusActive
Last updated in NPPESMay 12, 2023
Details
- NPI
- 1194423830
- Entity type
- Organization (NPI-2)
- Legal business name
- Living For Liberation
- Organization subpart
- No
- Enumeration date
- Feb 22, 2023
- Certification date
- May 12, 2023
- Last updated
- May 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
111 Warren St Ste 2Beaver Dam, WI 53916-3084
Phone 262-226-0391
Mailing address
Po Box 131Hustisford, WI 53034-0131
Phone 262-224-7721
Authorized official
Shannon Bernice Westphal
Psychotherapist
2622260391
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Other Clinical Social Worker providers in Beaver Dam, WI
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- Phyllis Ann Pleuss, LCSWNPI 1912100298
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All 9 Clinical Social Worker providers in Beaver Dam · All 551 providers in Beaver Dam
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