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Individual

MRS. GERALDINE REBECCA PIKALEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., LPC

Contact information

Practice address
1040 S 70TH ST, MILWAUKEE, WI 53214-3174
(414) 476-9675
(414) 615-0627
Mailing address
1040 S 70TH ST, MILWAUKEE, WI 53214-3174
(414) 476-9675
(414) 615-0627

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4501-125
WI
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104100000X
WI
Enumeration date
01/05/2009
Last updated
04/19/2011
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