Individual
CONSTANCE REMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 S WASHBURN ST STE 104, OSHKOSH, WI 54904-7951
(920) 236-8570
Mailing address
515 S WASHBURN ST STE 104, OSHKOSH, WI 54904-7951
(920) 236-8570
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
236-123
WI
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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