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Organization

CHILD AND ADULT PSYCHOTHERAPY CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JANICE E. LIEBER M.A. (OWNER/PSYCHOTHERAPIST)
(414) 380-3327
Entity
Organization

Contact information

Practice address
230 W WELLS ST, MILWAUKEE, WI 53203-1866
(414) 380-3327
(414) 276-6819
Mailing address
230 W WELLS ST, MILWAUKEE, WI 53203-1866
(414) 380-3327
(414) 276-6819

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3394123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1871602870
WI
Enumeration date
08/04/2014
Last updated
08/04/2014
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