Individual
MRS. PAMELA R MCNEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5501 W BURLEIGH ST, MILWAUKEE, WI 53210-1548
(414) 763-1868
(414) 763-5155
Mailing address
6123 W LINCOLN CREEK DR, MILWAUKEE, WI 53218-4939
(414) 536-4206
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11725-131
WI
104100000X
Social Worker
Primary
1673-121
WI
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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