Individual
ANTHONY M LICHTFUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1300 SOUTH DRIVE, WINNEBAGO, WI 54985
(920) 235-4910
Mailing address
PO BOX 9, WINNEBAGO, WI 54985-0009
(920) 235-4910
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7118
WI
Other
Enumeration date
11/26/2008
Last updated
05/08/2009
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