Individual
MS. LISA RENAE HERPOLSHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
W331 N9103 WEST SHORE DRIVE, HARTLAND, WI 53029
(262) 744-5201
Mailing address
W331 N9103 WEST SHORE DRIVE, HARTLAND, WI 53029
(262) 744-5201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7682-123
WI
1041C0700X
Clinical Social Worker
LCSW-10795
AZ
Other
Enumeration date
08/31/2010
Last updated
07/21/2022
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