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Individual

JOSHUA ALAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1136 WESTOWNE DR, NEENAH, WI 54956-2175
(920) 720-8200
(920) 720-8007
Mailing address
1136 WESTOWNE DR, NEENAH, WI 54956-2175
(920) 720-8200
(920) 720-8007

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8976
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100087028
WI
Enumeration date
03/19/2019
Last updated
12/07/2021
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