Individual
BIANCA MARIA VISCONTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
917 SHERWOOD DR, LAKE BLUFF, IL 60044-2224
(224) 419-2014
Mailing address
1521 S 10TH ST, MILWAUKEE, WI 53204-2857
(224) 419-2014
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
WI
106S00000X
Behavior Technician
—
IL
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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