Individual
THOMAS G MLODZIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, LMFT, CAD
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12418
WI
1041C0700X
Clinical Social Worker
Primary
6995-123
WI
106H00000X
Marriage & Family Therapist
555-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12418
CADCIII
WI
05
—
39757800
—
WI
01
—
555-124
LMFT
WI
01
—
6995-123
LCSW
WI
Enumeration date
09/25/2006
Last updated
11/04/2016
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