Individual
MS. MAUREEN ROSENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
817 N MARSHALL ST, MILWAUKEE, WI 53202
(414) 224-0800
(414) 224-0883
Mailing address
W9203 BLUE SPRUCE LANE, CAMBRIDGE, WI 53523
(608) 423-3960
(608) 423-7166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3060123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364091
MANAGED HEALTH
WI
01
—
4584530
ETNA
WI
Enumeration date
11/07/2006
Last updated
07/08/2007
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