Individual
MR. TIMOTHY JOHN SCHWALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSSW
Contact information
Practice address
1126 S 70TH ST, WEST ALLIS, WI 53214-3151
(415) 727-7289
Mailing address
568 N 105TH ST, WAUWATOSA, WI 53226-4330
(414) 774-7135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4131-123
WI
1041S0200X
School Social Worker
050912
WI
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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