Individual
MS. ELAINE A ANTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3059 N WEIL ST UNIT 107, MILWAUKEE, WI 53212-2281
(414) 278-0167
(414) 278-0167
Mailing address
3059 N WEIL ST UNIT 107, MILWAUKEE, WI 53212-2281
(414) 278-0167
(414) 278-0167
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
980-123
WI
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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