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Individual

DANIELLE S CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
10702 W BURLEIGH ST, WAUWATOSA, WI 53222-3310
(414) 777-0740
(414) 777-0749
Mailing address
10702 W BURLEIGH ST, WAUWATOSA, WI 53222-3310
(414) 777-0740
(414) 777-0749

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.012652
IL
1041C0700X
Clinical Social Worker
Primary
7635-123
WI

Other

Enumeration date
05/21/2008
Last updated
12/21/2016
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