Organization
AIMEE METZGER PSYCHOTHERAPY LLC
Active
Other names
Aimee Metzger Psychotherapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AIMEE METZGER LCSW (MEMBER/PROVIDER)
(262) 804-7729
Entity
Organization
Contact information
Practice address
405 E FOREST ST STE 106, OCONOMOWOC, WI 53066-3707
(262) 490-3894
Mailing address
405 E FOREST ST STE 106, OCONOMOWOC, WI 53066-3707
(262) 804-7729
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10080061
—
WI
Enumeration date
11/22/2019
Last updated
11/24/2020
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