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Individual

MS. JOANNE MARIE DAMICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
7330 W LAYTON AVENUE, MILWAUKEE, WI 53220
(414) 281-1677
(414) 281-9884
Mailing address
7330 W LAYTON AVENUE, MILWAUKEE, WI 53220
(414) 281-1677
(414) 281-9884

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2380123
WI
106H00000X
Marriage & Family Therapist
233124
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39266500
WI
Enumeration date
11/08/2006
Last updated
12/09/2013
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