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Individual

PAULA E FLAHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
190 GARDNER AVE, SUITE 3, BURLINGTON, WI 53105-2160
(262) 763-7766
Mailing address
190 GARDNER AVE, SUITE 3, BURLINGTON, WI 53105-2160
(262) 763-7766

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
WI799123
WI
1041C0700X
Clinical Social Worker
Primary
799
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40998800
WI
Enumeration date
08/23/2006
Last updated
08/04/2015
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