Organization
JILL E GREINKE PSYCHOTHERAPIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PASCAL SHARMILEE (MEDICAL BILLER)
(262) 432-0919
Entity
Organization
Contact information
Practice address
933 N MAYFAIR RD STE 101, WAUWATOSA, WI 53226-3432
(414) 839-1345
Mailing address
933 N MAYFAIR RD STE 101, WAUWATOSA, WI 53226-3432
(414) 839-1345
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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