Organization
LINDA SCHWALLIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA SCHWALLIE LMFT (OWNER)
(920) 621-3036
Entity
Organization
Contact information
Practice address
926 WILLARD DR, GREEN BAY, WI 54304-5071
(920) 621-3036
Mailing address
122 MIRAMAR DR, GREEN BAY, WI 54301-1924
(920) 621-3036
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
67-124
WI
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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