Individual
MR. PETER FORBES DERPINGHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
1504 E MARION ST, SHOREWOOD, WI 53211-1559
(414) 520-0671
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9539
WI
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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