Individual
PHILIP W ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2639 NEW PINERY RD, SUITE 1, PORTAGE, WI 53901-1110
(608) 742-5020
(608) 742-5364
Mailing address
400 S TOWNLINE RD, WAUTOMA, WI 54982-6922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6964-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4.565900
—
WI
Enumeration date
06/29/2006
Last updated
02/21/2020
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