Individual
CARLO JON NEVICOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, APSW
Contact information
Practice address
W4051 COUNTY RD. NN, ELKHORN, WI 53121
(262) 741-3223
(262) 741-3217
Mailing address
469 FOREST PARK BLVD, JANESVILLE, WI 53545-4109
(262) 510-4877
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
WI
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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