Individual
VINCENT WITHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LMFT-IT
Contact information
Practice address
3200 W HIGHLAND BLVD, MILWAUKEE, WI 53208-3252
(414) 342-4560
Mailing address
2501 E JARVIS ST, SHOREWOOD, WI 53211-2131
(414) 333-3298
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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