Individual
JANICE O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 W BROADWAY FL 2, WAUKESHA, WI 53186-4833
(262) 547-5567
(262) 547-1608
Mailing address
317 LARKIN ST, EAGLE, WI 53119
(262) 352-8488
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7015-123
WI
Other
Enumeration date
09/26/2017
Last updated
06/16/2018
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