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Individual

ARIEL NAMOWICZ KLOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
15285 WATERTOWN PLANK RD STE 102, ELM GROVE, WI 53122-2339
(414) 552-8242
Mailing address
15285 WATERTOWN PLANK RD STE 102, ELM GROVE, WI 53122-2339
(414) 552-8242

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9672123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100095301
WI
01
9672-123
STATE LICENSE
WI
Enumeration date
11/20/2019
Last updated
04/23/2025
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