Individual
LISA SACHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4109 67TH ST, KENOSHA, WI 53142-3836
(262) 652-9830
(262) 652-2931
Mailing address
4109 67TH ST, KENOSHA, WI 53142-3836
(262) 652-9830
(262) 652-2931
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6976-123
WI
1041C0700X
Clinical Social Worker
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40943300
—
WI
Enumeration date
07/12/2006
Last updated
07/08/2007
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