Individual
EVA M COLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
723 S WISCONSIN ST, PULASKI, WI 54162-9303
(920) 433-6073
(920) 432-6313
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6885
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40915200
—
WI
01
—
6885123
WI LICENSE
WI
Enumeration date
12/05/2006
Last updated
04/20/2021
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