Organization
AFFILIATED WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOELLE KATHLEEN OTTOSON MSW (OWNER)
(262) 646-8288
Entity
Organization
Contact information
Practice address
N27W23960 PAUL RD STE 202, PEWAUKEE, WI 53072-6218
(262) 646-8288
(262) 646-8255
Mailing address
N27W23960 PAUL RD STE 202, PEWAUKEE, WI 53072-6218
(262) 646-8288
(262) 646-8255
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/11/2006
Last updated
03/31/2020
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