Individual
MARK W TRAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOCIAL WORKER
Contact information
Practice address
500 RIVERVIEW AVE, WAUKESHA, WI 53188-3632
(262) 548-7351
Mailing address
500 RIVERVIEW AVE, WAUKESHA, WI 53188-3632
(262) 548-7351
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9948-120
WI
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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