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Organization

CHILDYNAMICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ISABELA SARDAS PHD (DIRECTOR)
(414) 258-4347
Entity
Organization

Contact information

Practice address
11904 W NORTH AVE, SUITE 110, WAUWATOSA, WI 53226-2062
(414) 258-4347
Mailing address
11904 W NORTH AVE, SUITE 110, WAUWATOSA, WI 53226-2062
(414) 258-4347

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
12/14/2007
Last updated
12/14/2007
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