Individual
MAI ZOUA THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
500 RIVERVIEW AVE, WAUKESHA, WI 53188-3632
(262) 548-7729
Mailing address
500 RIVERVIEW AVE, WAUKESHA, WI 53188-3632
(262) 548-7729
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
127875-121
WI
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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