Individual
DORIS MISIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1205 NORTH AVE, CLEVELAND, WI 53015-1413
(920) 693-5600
(920) 693-5604
Mailing address
1205 NORTH AVE, CLEVELAND, WI 53015-1413
(920) 693-5600
(920) 693-5604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801064169
MI
Other
Enumeration date
07/01/2006
Last updated
07/08/2007
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