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Individual

LEE R BEITZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, LMFT

Contact information

Practice address
600 E MASON ST, SUITE 401, MILWAUKEE, WI 53202-3870
(414) 224-3737
(414) 224-3725
Mailing address
600 E MASON ST, SUITE 401, MILWAUKEE, WI 53202-3870
(414) 224-3737
(414) 224-3725

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1020-123
WI
106H00000X
Marriage & Family Therapist
Primary
321-124
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39558500
WI
Enumeration date
07/13/2006
Last updated
01/28/2008
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