Cody A Pangrazzi, LPSW
Social Worker, Clinical in Marinette, WI. Individual provider (NPI-1).
NPI number1295259596
StatusActive
Last updated in NPPESDec 13, 2021
Details
- NPI
- 1295259596
- Entity type
- Individual (NPI-1)
- Name
- Cody A Pangrazzi
- Credential
- LPSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2017
- Certification date
- Dec 13, 2021
- Last updated
- Dec 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 9204 | WI | Yes |
| 104100000X | Social Worker | 130736 | WI |
Practice location
4061 Old Peshtigo RdMarinette, WI 54143-3887
Phone 715-732-8000
Mailing address
4061 Old Peshtigo RdMarinette, WI 54143-3887
Phone 715-732-8000
Other practice locations
230 Park St
Wautoma, WI 54982-9031
Wautoma, WI 54982-9031
Phone 920-787-6550 · Fax 920-787-0421
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