Individual
MR. CHRISTOPHER RAYMOND LISOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
620 S 76TH ST, MILWAUKEE, WI 53214-1599
(414) 453-1400
(414) 453-2538
Mailing address
620 S 76TH ST, MILWAUKEE, WI 53214-1599
(414) 453-1400
(414) 453-2538
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6743-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235203282
—
WI
Enumeration date
11/20/2006
Last updated
01/08/2021
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