Individual
MR. MYRON IRVING HUSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSW ACSW AAMFT
Contact information
Practice address
5000 WEST NATIONAL AVENUE, MILWAUKEE, WI 53295
(414) 384-2000
(414) 382-5295
Mailing address
8705 GLENCOE CIRCLE, WAUWATOSA, WI 53226
(414) 774-6158
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2246123
WI
106H00000X
Marriage & Family Therapist
241124
WI
Other
Enumeration date
10/18/2006
Last updated
09/11/2025
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