Individual
MR. DAVID W DRUCKENBROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1520 VERNON ST, STOUGHTON, WI 53589-2260
(608) 873-6422
Mailing address
954 BROOKSIDE CIR, STOUGHTON, WI 53589-4111
(608) 873-6422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1191-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39588800
—
WI
Enumeration date
12/15/2006
Last updated
06/06/2013
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