Organization
RIVERWALK PSYCHOTHERAPY ASSOCIATES, LLC
Active
Other names
Midwest Center for Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
SERENA COURTNEY CLARDIE (PARTNER/PSYCHOTHERAPIST)
(414) 224-0800
Entity
Organization
Contact information
Practice address
1110 N. OLD WORLD THIRD ST., SUITE 401, MILWAUKEE, WI 53203
(414) 224-0800
(414) 224-0883
Mailing address
1110 N. OLD WORLD THIRD ST., SUITE 401, MILWAUKEE, WI 53203
(608) 423-3960
(608) 423-7166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42184700
—
WI
Enumeration date
11/20/2006
Last updated
06/10/2014
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