Individual
MS. MARY ZIEMER NERVIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8112 W BLUEMOUND RD, WAUWATOSA, WI 53213-3356
(414) 528-5523
(414) 431-1071
Mailing address
8112 W BLUEMOUND RD, WAUWATOSA, WI 53213-3356
(414) 528-5523
(414) 431-1071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
475-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39266700
—
WI
Enumeration date
12/11/2006
Last updated
07/08/2007
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