Individual
MS. MARY JANE FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14555 W NATIONAL AVE, #193, NEW BERLIN, WI 53151-4494
(262) 796-8426
(262) 796-8437
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1502-123
WI
1041C0700X
Clinical Social Worker
459-124
WI
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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