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Individual

MRS. JOYCE F MANUCHARYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSAC, CAPSW

Contact information

Practice address
4800 S 10TH ST, MILWAUKEE, WI 53221-2412
(414) 744-5370
Mailing address
4800 S 10TH ST, MILWAUKEE, WI 53221-2412
(414) 744-5370

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15816-132
WI
104100000X
Social Worker
128810-121
WI

Other

Enumeration date
04/25/2012
Last updated
01/08/2014
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