Individual
MARIANNE ELIZABETH BEYERSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2215 N PALMER ST, MILWAUKEE, WI 53212-3242
(800) 438-1772
(262) 345-5562
Mailing address
W175N11120 STONEWOOD DR, GERMANTOWN, WI 53022-4799
(888) 685-9522
(622) 345-5531
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
130880
WI
1041C0700X
Clinical Social Worker
Primary
9486-123
WI
Other
Enumeration date
01/31/2018
Last updated
08/18/2020
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