Organization
IMPACT CHILD AND FAMILY THERAPIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM PAUL STEWART LCSW (CO DIRECTOR AND EXECUTIVE OFFICER)
(847) 275-9498
Entity
Organization
Contact information
Practice address
829 S GREEN BAY RD, SUITE 108, MOUNT PLEASANT, WI 53406-4058
(262) 497-6212
Mailing address
829 S GREEN BAY RD, SUITE 108, MOUNT PLEASANT, WI 53406-4058
(262) 497-6212
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7963-123
WI
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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