Individual
THOMAS ANTHONY RUNTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9201 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3558
(414) 257-7268
Mailing address
9201 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3558
(414) 257-7268
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
251-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084212025
MEDICARE
—
05
—
39585600
—
WI
Enumeration date
05/14/2008
Last updated
05/14/2008
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