Individual
MARY JANE M DEMET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
731 N JACKSON ST, STE 510, MILWAUKEE, WI 53202-4697
(414) 810-2256
(888) 266-8068
Mailing address
731 N JACKSON ST, STE 510, MILWAUKEE, WI 53202-4697
(414) 810-2256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3960-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39783600
—
WI
Enumeration date
07/18/2006
Last updated
04/16/2018
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