Individual
CAROL ANN LIESENFELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2424 S 90TH ST, SUITE #402, WEST ALLIS, WI 53227-2455
(414) 328-8690
Mailing address
2424 S 90TH ST, SUITE #402, WEST ALLIS, WI 53227-2455
(414) 328-8690
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3554
WI
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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