Individual
CONSTANCE MARILYN BALCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
10012 W CAPITOL DR, MILWAUKEE, WI 53222-1338
(414) 810-4844
Mailing address
10012 W CAPITOL DR, MILWAUKEE, WI 53222-1338
(414) 810-4844
(414) 810-4845
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
126627
WI
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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