Individual
MR. ALEX HARTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5225 N IRONWOOD RD, STE 118, GLENDALE, WI 53217-4909
(414) 308-1091
(414) 308-1092
Mailing address
5225 N IRONWOOD RD, STE 118, GLENDALE, WI 53217-4909
(414) 308-1091
(414) 308-1092
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
420-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39590000
—
WI
Enumeration date
07/18/2005
Last updated
05/18/2011
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