Individual
CAROL JEAN SEYDEWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. WATR-BC
Contact information
Practice address
6040 W LISBON AVE, MILWAUKEE, WI 53210-2116
(414) 871-9111
(414) 871-9121
Mailing address
6040 W LISBON AVE, MILWAUKEE, WI 53210-2116
(414) 871-9111
(414) 871-9121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
534-126 70-036
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41009200
—
WI
Enumeration date
08/01/2006
Last updated
07/08/2007
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