Individual
MS. VERONICA MARIE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CEAP
Contact information
Practice address
10201 W LINCOLN AVE, SUITE 308, WEST ALLIS, WI 53227-2136
(262) 243-5666
(262) 243-5665
Mailing address
12627 N MAPLE CREST LN, MEQUON, WI 53092-2517
(262) 243-5666
(262) 243-5665
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2691-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11833611
CAQH
—
Enumeration date
03/02/2009
Last updated
03/02/2009
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