Individual
MS. CAROL MARIE JUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
207 E BUFFALO ST, #300, MILWAUKEE, WI 53202-5739
(414) 545-1950
(414) 271-9993
Mailing address
207 E BUFFALO ST, #300, MILWAUKEE, WI 53202-5739
(414) 545-1950
(414) 271-9993
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
WI875-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40965100ML31-078
—
WI
Enumeration date
01/26/2007
Last updated
07/08/2007
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