Individual
MAGDALENE HELENE DANZER-MALINOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1205 S 70TH ST, STE 301, WEST ALLIS, WI 53214-3167
(414) 475-2788
Mailing address
6233 39TH AVE, KENOSHA, WI 53142-7015
(262) 652-1004
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5163-57
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/16/2021
Last updated
02/08/2024
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