Organization
EXTENDEED CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA J BYKOWSKI MSW, APSW (SOCIAL WORKER)
(414) 384-2000
Entity
Organization
Contact information
Practice address
5000 W NATIONAL AVE, BLDG 70-E-106, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
3055 S FOUNTAIN SQUARE BLVD, APT 207, NEW BERLIN, WI 53151-3999
(414) 384-2000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
129106
WI
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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