Individual
ALEXANDER ISRAEL LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9653 N GRANVILLE RD, MEQUON, WI 53097-3513
(262) 404-7509
Mailing address
1900 NORHARDT DR APT 102, BROOKFIELD, WI 53045-5098
(262) 470-6679
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
130943
WI
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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