Individual
JUSTYCE ALEXANDRIA WANDERSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
115 N CENTER ST, BEAVER DAM, WI 53916-2119
(920) 877-1766
Mailing address
623 ARLINGTON WAY, WATERTOWN, WI 53094-5917
(414) 363-0905
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
135761121
WI
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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