Organization
FOOTSTEPS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY LEE DAVISON MSW, LCSW (CLINICAL PSYCHOTHERAPIST)
(414) 491-2140
Entity
Organization
Contact information
Practice address
11803 W NORTH AVE, WAUWATOSA, WI 53226-2077
(414) 491-2140
(414) 258-1337
Mailing address
11803 W NORTH AVE, WAUWATOSA, WI 53226-2077
(414) 491-2140
(414) 258-1337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7889-123
WI
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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