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Organization
WHITESTAR WELLNESS SC
Active
Organization
WHITESTAR WELLNESS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIEL NAMOWICZ KLOSS (OWNER)
(414) 552-8242
Entity
Organization
Contact information
Practice address
15285 WATERTOWN PLANK ROAD, SUITE 102, BROOKFIELD, WI 53005
(414) 552-8242
Mailing address
4685 PILGRIM RD, BROOKFIELD, WI 53005-1556
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
05/05/2025
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