19PLACE
Organization (NPI-2)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1538685854- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4039 N 19TH PL, MILWAUKEE, WI, 532096806
- Phone
- (414) 630-4986
Specialties & Taxonomies
Counselor, Mental Health
Social Worker, Clinical
Primary License: WI #8345-123