Individual
MR. WILLIE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6049 W SILVER BROOK LN, BROWN DEER, WI 53223-2242
(414) 355-3462
Mailing address
6049 W SILVER BROOK LN, BROWN DEER, WI 53223-2242
(414) 355-3462
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
965-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
965-123
LCSW
WI
Enumeration date
01/28/2008
Last updated
01/28/2008
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