Organization
TWO PINES COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA K SANDORA LCSW (LICENSED CLINICAL SOCIAL WORKER)
(414) 533-7584
Entity
Organization
Contact information
Practice address
3970 N OAKLAND AVE STE 502, MILWAUKEE, WI 53211-2265
(414) 533-7584
Mailing address
6048 N KENT AVE, WHITEFISH BAY, WI 53217-4644
(415) 810-8247
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8831-123
WI
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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