Individual
ELIZABETH THAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
155 E CAPITOL DR, SUITE 5B, HARTLAND, WI 53029-2134
(414) 688-2678
Mailing address
19285 BLACK FOREST DR, BROOKFIELD, WI 53045-6009
(262) 786-5743
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6854-123
WI
1041C0700X
Clinical Social Worker
6854-123
WI
Other
Enumeration date
01/11/2007
Last updated
09/11/2025
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