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Individual

KAREN N EALY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CSW, CSAC, ICS

Contact information

Practice address
10045 W LISBON AVE, SUITE 221, WAUWATOSA, WI 53222-2446
(414) 358-7999
(414) 358-7158
Mailing address
7665 N BERWYN AVE, MILWAUKEE, WI 53209-1803
(414) 351-0242
(414) 351-0242

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1944-132
WI
1041C0700X
Clinical Social Worker
4768-120
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39370400
WI
Enumeration date
02/23/2007
Last updated
09/28/2010
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