Individual
MS. JUDITH MARGARET DOERSCH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1478 KENWOOD DR, MENASHA, WI 54952-1153
(920) 720-5839
Mailing address
4456 W 4TH ST, APPLETON, WI 54914-8539
(920) 734-2403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1775 - 123
WI
Other
Enumeration date
08/31/2005
Last updated
07/08/2007
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