Individual
TERESA GERAGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
9201 WATERTOWN PLANK ROAD, MILWAUKEE, WI 53226-3558
(414) 257-6921
(414) 454-4242
Mailing address
9201 WATERTOWN PLANK ROAD, MILWAUKEE, WI 53226-3558
(414) 257-6921
(414) 454-4242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
775123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10062926
—
WI
Enumeration date
06/09/2008
Last updated
06/09/2008
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