Individual
TERRENCE ALLEN ROGALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSSW, LCSW, CEAP
Contact information
Practice address
738 ARROWHEAD BLVD, WILTON, WI 54670-6006
(608) 343-8681
Mailing address
738 ARROWHEAD BLVD, WILTON, WI 54670-6006
(608) 343-8681
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6802-123
WI
Other
Enumeration date
03/12/2007
Last updated
03/29/2012
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