Individual
DOUGLAS MESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2607 N GRANDVIEW BLVD STE 110, WAUKESHA, WI 53188
(262) 313-8339
(262) 910-1653
Mailing address
2607 N GRANDVIEW BLVD STE 110, WAUKESHA, WI 53188-1690
(262) 313-8339
(262) 910-1653
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2098123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39592600
—
WI
Enumeration date
01/09/2007
Last updated
06/18/2018
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