Individual
LISA WENTWORTH-ROHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
11121 W NORTH AVE, SUITE 220, WAUWATOSA, WI 53226-2233
(262) 780-9788
(414) 443-2719
Mailing address
11121 W NORTH AVE, SUITE 220, WAUWATOSA, WI 53226-2233
(262) 780-9788
(414) 443-2719
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3069123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43579900
—
WI
Enumeration date
08/26/2006
Last updated
06/22/2008
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