Individual
ROBERT JOHN THOREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1545 S LAYTON BLVD, MILWAUKEE, WI 53215-1924
(414) 671-5932
(414) 645-7850
Mailing address
1545 S LAYTON BLVD, MILWAUKEE, WI 53215-1924
(414) 671-5932
(414) 645-7850
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1256-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39755900
—
WI
Enumeration date
09/15/2006
Last updated
07/09/2007
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