Individual
ELLEN LEITNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-8900
(414) 955-6285
Mailing address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-8900
(414) 955-6285
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11115
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225644651
—
WI
Enumeration date
09/21/2020
Last updated
07/25/2023
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