Individual
DAWN M PFLUGRADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
104 N MAIN ST STE 120, WAUPACA, WI 54981-1594
(414) 552-6289
(920) 257-4603
Mailing address
104 N MAIN ST STE 120, WAUPACA, WI 54981-1594
(414) 552-6289
(920) 257-4603
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2876-057
WI
1041C0700X
Clinical Social Worker
7074 123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40939300
—
WI
Enumeration date
11/29/2006
Last updated
04/29/2014
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