Individual
JULIE DUNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8400 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3735
(262) 884-4000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11203
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100265146
—
WI
Enumeration date
10/14/2024
Last updated
02/26/2025
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