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Individual

MRS. LYNN M OLLSWANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACSW LCSW

Contact information

Practice address
2524 E. WEBSTER PLACE, SUITE 203, MILWAUKEE, WI 53211-4253
(414) 964-9200
(414) 964-4816
Mailing address
2524 E. WEBSTER PL., SUITE 203, MILWAUKEE, WI 53211-4253
(414) 964-9200
(414) 964-4816

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1353123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39656400
WI
Enumeration date
02/06/2006
Last updated
11/07/2008
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