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Individual

ROBERT A. KNOOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSAC, CSW

Contact information

Practice address
6815 W CAPITOL DR STE 305, MILWAUKEE, WI 53216-2070
(414) 461-9416
(414) 461-9425
Mailing address
6815 W CAPITOL DR STE 305, MILWAUKEE, WI 53216-2070
(414) 461-9416
(414) 461-9425

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1568-132
WI
104100000X
Social Worker
4405-120
WI

Other

Enumeration date
09/10/2007
Last updated
09/10/2007
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