Individual
MR. FREDERICK SCOTT WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, APSW
Contact information
Practice address
2524 E WEBSTER PL, MILWAUKEE, WI 53211-4256
(414) 964-9200
Mailing address
6522 N SUNNY POINT RD, GLENDALE, WI 53217-4079
(608) 622-0790
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131964-121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131964-121
WI DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
10/02/2020
Last updated
10/02/2020
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