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Individual

JOANNA LEDVINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW, CSAC

Contact information

Practice address
4811 S 76TH ST STE 208, GREENFIELD, WI 53220-4352
(262) 542-3255
(414) 817-0442
Mailing address
16535 W BLUEMOUND RD STE 200, BROOKFIELD, WI 53005-5906
(262) 542-3255
(262) 821-6180

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15649-132
WI
1041C0700X
Clinical Social Worker
Primary
8033-123
WI

Other

Enumeration date
08/12/2013
Last updated
08/12/2013
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