Individual
MR. NEAL ETHAN MOGLOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., L.P.C.
Contact information
Practice address
250 N SUNNY SLOPE RD, SUITE 128, BROOKFIELD, WI 53005-4809
(262) 782-2820
(262) 782-6937
Mailing address
8205 N 38TH ST, BROWN DEER, WI 53209-1513
(414) 362-0327
(262) 782-6937
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2836-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43568300
—
WI
Enumeration date
10/24/2005
Last updated
07/09/2007
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