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Individual

MR. PAUL BRIAN ZENISEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1220 DEWEY AVE, DEWEY CENTER, WAUWATOSA, WI 53213
(414) 454-6707
(414) 454-6747
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 454-6707

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3586-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40938100
WI
Enumeration date
08/24/2006
Last updated
12/04/2023
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