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Individual

MRS. ROBERTA PRICHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1212 S 70TH ST STE 115A, WEST ALLIS, WI 53214-3105
(262) 880-7393
Mailing address
9575 BRENWOOD DRIVE PO BOX 320068, FRANKLIN, WI 53132
(262) 880-7393

Taxonomy

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

Other

Enumeration date
10/28/2013
Last updated
10/28/2013
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