Individual
MR. ROBERT JOSEPH JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6791 N GREEN BAY AVE, GLENDALE, WI 53209-3422
(414) 228-4800
Mailing address
6791 N GREEN BAY AVE, GLENDALE, WI 53209-3422
(414) 228-4800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7717-123
WI
Other
Enumeration date
10/14/2011
Last updated
11/27/2012
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