Individual
LINDA S NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 30TH AVE, SUITE 202, KENOSHA, WI 53144-1632
(262) 842-0500
(262) 842-0502
Mailing address
285 N JANACEK RD, BROOKFIELD, WI 53045-6102
(262) 641-9050
(262) 641-9126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11974-132
WI
104100000X
Social Worker
127436-121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39389800
—
WI
Enumeration date
10/12/2007
Last updated
05/26/2008
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