Individual
NANETTE DENISE COUNSELL-WILKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
N116 W16150 MAIN STREET, GERMANTOWN, WI 53022
(262) 253-9420
(262) 532-2447
Mailing address
10201 W LINCOLN AVE, SUITE 308, WEST ALLIS, WI 53227-2136
(414) 329-7000
(414) 329-7010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2506-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39636500
—
WI
Enumeration date
08/31/2006
Last updated
10/21/2010
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