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Individual

DR. STEPHEN DOUGLAS HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
7330 W LAYTON AVE, AMERICAN BEHAVIORAL CLINICS SC, MILWAUKEE, WI 53220-3849
(414) 281-1677
(414) 281-9884
Mailing address
7330 W LAYTON AVE, AMERICAN BEHAVIORAL CLINICS SC, MILWAUKEE, WI 53220-3849
(414) 281-1677
(414) 281-9884

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
487 123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39560800
WI
Enumeration date
10/11/2006
Last updated
07/08/2007
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