Individual
CODY A PANGRAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPSW
Contact information
Practice address
4061 OLD PESHTIGO RD, MARINETTE, WI 54143-3887
(715) 732-8000
Mailing address
4061 OLD PESHTIGO RD, MARINETTE, WI 54143-3887
(715) 732-8000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
130736
WI
1041C0700X
Clinical Social Worker
Primary
9204
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100069692
—
WI
Enumeration date
07/28/2017
Last updated
12/13/2021
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