Individual
MR. CRISTOBAL ZAMORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
10045 W LISBON AVE, SUITE 200, WAUWATOSA, WI 53222-2446
(414) 358-7144
(414) 358-7158
Mailing address
10045 W LISBON AVE, SUITE 200, WAUWATOSA, WI 53222-2446
(414) 358-7144
(414) 358-7158
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7185-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40991700
—
WI
01
—
7185-123
L.C.S.W.
WI
Enumeration date
09/25/2006
Last updated
05/05/2008
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