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Individual

COURTNEY M SCHLEGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
128880-121
WI
1041C0700X
Clinical Social Worker
Primary
8294-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1457756744
DEANHEALTH PLAN
WI
05
1457756744
WI
01
SCHLECOU
MERCYCARE INSURANCE
WI
Enumeration date
10/29/2014
Last updated
03/16/2022
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