Individual
MRS. CECILIA TERESA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
10150 W NATIONAL AVE, STE 370, WEST ALLIS, WI 53227-2152
(262) 782-2090
(262) 782-2092
Mailing address
10150 W NATIONAL AVE, STE 370, WEST ALLIS, WI 53227-2152
(262) 782-2090
(262) 782-2092
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
687123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40941100
—
WI
Enumeration date
01/11/2007
Last updated
03/22/2018
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