Individual
LORI A RUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2625 N WEIL ST, MILWAUKEE, WI 53212-3060
(414) 962-1200
(414) 962-2605
Mailing address
2625 N WEIL ST, MILWAUKEE, WI 53212-3060
(414) 962-1200
(414) 962-2605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1984-121
WI
Other
Enumeration date
09/15/2011
Last updated
09/08/2016
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