Individual
LOIS A PULVERMACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 PRIMROSE LN, GREEN BAY, WI 54311-6882
(920) 712-4526
(800) 469-0235
Mailing address
101 PRIMROSE LN, GREEN BAY, WI 54311-6882
(920) 712-4526
(800) 469-0235
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7302-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40918400
—
WI
01
—
7302-123
LCSW
WI
Enumeration date
02/09/2007
Last updated
11/14/2025
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