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Individual

JOEL SCOTT WINSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7330 W LAYTON AVENUE, MILWAUKEE, WI 53220
(414) 281-1677
(414) 281-9884
Mailing address
8863 NORTH TENNYSON DRIVE, BAYSIDE, WI 53217
(414) 352-9667

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1266
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39219100
WI
Enumeration date
12/04/2006
Last updated
07/08/2007
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