Individual
DENICE MOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
93 W GENEVA ST, WILLIAMS BAY, WI 53191-9562
(262) 607-6390
(262) 627-6387
Mailing address
810 S 4TH ST, DEKALB, IL 60115-4410
(815) 758-1358
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.013457
IL
1041C0700X
Clinical Social Worker
Primary
9266-123
WI
Other
Enumeration date
12/19/2012
Last updated
09/16/2019
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