Individual
DANIELLE DICENTIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 W MITCHELL ST, MILWAUKEE, WI 53204-3383
(414) 383-4455
Mailing address
626 E STATE ST, MILWAUKEE, WI 53202-3247
(630) 418-5855
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
130913-121
WI
1041C0700X
Clinical Social Worker
Primary
12288-123
WI
Other
Enumeration date
01/30/2018
Last updated
05/14/2025
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