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Individual

ALLEN J VOGT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
10201 W LINCOLN AVE, SUITE 308, WEST ALLIS, WI 53227-2136
(414) 329-7000
(414) 329-7010
Mailing address
10201 W LINCOLN AVE, SUITE 308, WEST ALLIS, WI 53227-2136
(414) 329-7000
(414) 329-7010

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
404-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
404-123
STATE OF WISCONSIN-LICENSED
WI
Enumeration date
09/29/2009
Last updated
09/29/2009
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