Individual
MR. PETER J ISELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10045 W LISBON AVE, WAUWATOSA, WI 53222-2446
(414) 429-7259
(414) 393-1460
Mailing address
10045 W LISBON AVE, WAUWATOSA, WI 53222-2446
(414) 429-7259
(414) 393-1460
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2997-123
WI
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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