Individual
DANIEL E DI CERBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6400 GISHOLT DR, SUITE 100, MONONA, WI 53713-4835
(608) 256-5030
Mailing address
915 ELLIS AVE APT 219, BARABOO, WI 53913-2989
(608) 432-1920
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8357-123
WI
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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