Individual
SUSAN HUYCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
N64W30952 BEAVER LAKE RD, HARTLAND, WI 53029
(262) 367-6272
Mailing address
PO BOX 217, NORTH LAKE, WI 53064-0217
(262) 367-6272
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2915-123
WI
Other
Enumeration date
07/28/2006
Last updated
03/13/2015
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