Middle Coast Therapy LLC
Social Worker, Clinical in Milwaukee, WI. Organization (NPI-2).
NPI number1730833146
StatusActive
Last updated in NPPESFeb 5, 2022
Details
- NPI
- 1730833146
- Entity type
- Organization (NPI-2)
- Legal business name
- Middle Coast Therapy LLC
- Organization subpart
- No
- Enumeration date
- Feb 5, 2022
- Certification date
- Feb 5, 2022
- Last updated
- Feb 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
2321 E Capitol DrMilwaukee, WI 53211-2119
Phone 414-367-9111 · Fax 414-355-9665
Mailing address
2118a N Cambridge AveMilwaukee, WI 53202-1014
Phone 414-367-9111
Authorized official
Andrew M.L. Silverman
President
4143679111
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