Individual
ELIZABETH MONTCALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7957 W WIND LAKE RD STE E, WATERFORD, WI 53185-2234
(000) 000-0000
Mailing address
7957 W WIND LAKE RD STE E, WATERFORD, WI 53185-2234
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
097763
NY
1041C0700X
Clinical Social Worker
Primary
12051-123
WI
Other
Enumeration date
08/03/2016
Last updated
03/06/2025
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