Individual
ALICIA WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAPSW
Contact information
Practice address
1039 W MASON ST, GREEN BAY, WI 54303-1842
(920) 965-7707
Mailing address
1642 UNIVERSITY DR APT 1, MENASHA, WI 54952-1194
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
129580-121
WI
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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