Organization
EASTLAKE COUNSELING AND CONSULTING II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY BETH SHAFFER LCSW (CO DIRECTOR)
(414) 272-0123
Entity
Organization
Contact information
Practice address
135 W WELLS ST, SUITE 226, MILWAUKEE, WI 53203-1830
(414) 272-0123
(414) 272-3498
Mailing address
135 W WELLS ST, SUITE 226, MILWAUKEE, WI 53203-1830
(414) 272-0123
(414) 272-3498
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
WI
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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