Individual
MR. FRED HENRY MALESEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, ACSW, DAPA
Contact information
Practice address
S110W30520 YMCA CAMP RD, MUKWONAGO, WI 53149-9534
(262) 777-1833
Mailing address
S110 W30520 YMCA CAMP RD, MUKWONAGO, WI 53149-9534
(262) 777-1833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
62-123
WI
Other
Enumeration date
08/01/2006
Last updated
09/18/2015
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