Individual
NEKO M ELIZONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
525 AIRPORT RD, ONEIDA, WI 54155-0935
(920) 869-2711
Mailing address
PO BOX 365, ONEIDA, WI 54155-0365
(920) 869-2711
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43086600
—
WI
Enumeration date
10/17/2008
Last updated
10/17/2008
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