Individual
MRS. JOANN M NITKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3049 RAMADA WAY STE 200, GREEN BAY, WI 54304-5576
(920) 482-2932
(800) 892-6147
Mailing address
3049 RAMADA WAY STE 200, GREEN BAY, WI 54304-5576
(920) 482-2932
(800) 892-6147
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6534-123
WI
Other
Enumeration date
11/08/2006
Last updated
08/15/2023
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