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Individual

MS. JOYCE E DEMANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LMFT, SAC

Contact information

Practice address
1501 AIRPORT RD, WAUKESHA, WI 53188-2461
(262) 548-7950
Mailing address
500 RIVERVIEW AVE, WAUKESHA, WI 53188-3632

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15148
WI
1041C0700X
Clinical Social Worker
Primary
1981-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39278800
WI
Enumeration date
05/11/2007
Last updated
08/09/2011
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