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Individual

MONICA M PASSAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, RN

Contact information

Practice address
1143 WARWICK WAY UNIT A, RACINE, WI 53406-5661
(262) 789-1191
(262) 583-4014
Mailing address
1143 WARWICK WAY UNIT A, RACINE, WI 53406-5661
(262) 789-1191
(262) 583-4014

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3819-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1235425885
WI
Enumeration date
06/22/2011
Last updated
02/05/2022
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