Individual
LISA MOWBRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
677
WI
1041C0700X
Clinical Social Worker
Primary
677-123
WI
Other
Enumeration date
07/15/2006
Last updated
11/01/2023
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