Individual
LINDSEY A WILICHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
W7327 ANDERSON AVE, SHAWANO, WI 54166-1143
(715) 526-4700
(715) 526-5542
Mailing address
211931 COUNTY ROAD J, HATLEY, WI 54440-5041
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11263
WI
1041C0700X
Clinical Social Worker
132480
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100236738
—
WI
01
—
11263
STATE OF WISCONSIN
WI
Enumeration date
02/15/2023
Last updated
06/25/2024
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