Individual
LINDA C YANAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW, LCSW
Contact information
Practice address
2733 S RIDGE RD, GREEN BAY, WI 54304-5513
(920) 497-6200
(920) 497-3135
Mailing address
1026 LAWE ST, GREEN BAY, WI 54301-3421
(920) 431-0689
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7111-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43568900
—
WI
Enumeration date
01/31/2007
Last updated
07/08/2007
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