Individual
CAROL M ALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, DCSW
Contact information
Practice address
675 N BROOKFIELD RD STE 103, SUBURBAN COUNSELING SERVICES, BROOKFIELD, WI 53045-5858
(262) 391-4892
(262) 789-8759
Mailing address
675 N BROOKFIELD RD STE 103, SUBURBAN COUNSELING SERVICES, BROOKFIELD, WI 53045-5858
(262) 391-4892
(262) 789-8759
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
963123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000044386
MEDICARE PROVIDER ID#:
WI
Enumeration date
09/20/2006
Last updated
04/23/2008
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