Individual
BRYAN MISCHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
40 CAMELOT DR, FOND DU LAC, WI 54935-8049
(920) 926-2300
(920) 907-8209
Mailing address
40 CAMELOT DR, FOND DU LAC, WI 54935-8049
(920) 926-2300
(920) 907-8209
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
129967 - 121
WI
1041C0700X
Clinical Social Worker
Primary
8878-123
WI
Other
Enumeration date
11/12/2015
Last updated
03/21/2018
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