Individual
LISA A USGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LMFT
Contact information
Practice address
903 MINERAL POINT AVE, JANESVILLE, WI 53548-2970
(608) 756-5555
(608) 756-0174
Mailing address
903 MINERAL POINT AVE, JANESVILLE, WI 53548-2970
(608) 756-5555
(608) 756-0174
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3419-123
WI
106H00000X
Marriage & Family Therapist
275-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619022282
—
WI
Enumeration date
01/24/2007
Last updated
10/08/2015
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