Individual
CONNOR JOHN NOVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4200 N HOLTON ST STE 400, MILWAUKEE, WI 53212-1064
(262) 305-0948
Mailing address
4200 N HOLTON ST STE 400, MILWAUKEE, WI 53212-1064
(262) 305-0948
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10066-123
WI
Other
Enumeration date
11/08/2022
Last updated
04/04/2023
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