Individual
MS. JULIE ANNE OFFUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W., C.S.A.C.
Contact information
Practice address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 773-4312
Mailing address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 773-4312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6990-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225288509
—
WI
Enumeration date
09/24/2008
Last updated
12/08/2021
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