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Individual

MARIA E LOZANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
1126 S, 70TH STREET, SUITE S-507, WEST ALLIS, WI 53214
(414) 727-2789
(414) 476-8695
Mailing address
1126 S, 70TH STREET, SUITE S-507, WEST ALLIS, WI 53214
(414) 727-2789
(414) 476-8695

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3326-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39229200
WI
Enumeration date
10/02/2008
Last updated
10/02/2008
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