Individual
LINELL K BERKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-2300
Mailing address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-3806
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7363
WI
Other
Enumeration date
09/22/2008
Last updated
09/24/2008
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