Individual
MR. BENON MICHAEL CHOMICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW, MSW, APSW, LCSW
Contact information
Practice address
2019 S 30TH ST, MILWAUKEE, WI 53215-2131
(414) 255-9099
Mailing address
2019 S 30TH ST, MILWAUKEE, WI 53215-2131
(414) 255-9099
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
127324-121
WI
Other
Enumeration date
09/14/2007
Last updated
11/03/2012
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