Individual
ALYSSA ADDICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 W CAPITOL DR, MILWAUKEE, WI 53216-2530
(414) 455-3879
Mailing address
330 COURTNEA LN, MANCHESTER, TN 37355-3680
(859) 396-7384
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
134833121
WI
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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