Individual
MR. LYLE NORBERT NEEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
119A S. SILVER LAKE ST, OCONOMOWOC, WI 53066
(262) 567-4455
Mailing address
N48W34100 JAECKLES DR, NASHOTAH, WI 53058-9631
(262) 567-7713
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4292-123
WI
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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