Individual
JILL ANNE A WAXMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
620 S 76TH ST STE 120, MILWAUKEE, WI 53214-1599
(414) 453-1400
Mailing address
227 E PLAINFIELD AVE, MILWAUKEE, WI 53207-5009
(312) 523-6192
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9813
WI
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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