Individual
RONALD T. MENDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(414) 476-9675
Mailing address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(414) 476-9675
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4069-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39289000
—
WI
Enumeration date
07/08/2006
Last updated
11/07/2024
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