Individual
BENJAMIN PEERBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5420 W STATE ST, MILWAUKEE, WI 53208-2514
(414) 509-7060
(414) 509-7388
Mailing address
8441 N 63RD ST, BROWN DEER, WI 53223-2811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8305
WI
Other
Enumeration date
01/19/2012
Last updated
08/31/2016
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