Individual
MEAGHAN ELIZABETH BAKKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
N17W24222 RIVERWOOD DR STE 170, WAUKESHA, WI 53188-1134
(262) 330-0092
Mailing address
1005 BURRIE LN, WAUKESHA, WI 53188-5545
(262) 385-7336
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9850-123
WI
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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