Organization
PARK WEST SOCIAL & PSYCHOTHERAPY SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLORINE HENDERSON-HARRIS MSW, LCSW (DIRECTOR/PSYCHOTHERAPIST)
(414) 771-0227
Entity
Organization
Contact information
Practice address
3353 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-1455
(414) 771-0227
(414) 771-0227
Mailing address
3353 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-1455
(414) 771-0227
(414) 771-0227
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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