Individual
THOMAS MICHAEL BEKKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 433-0111
(920) 433-8765
Mailing address
PO BOX 13508, GREEN BAY, WI 54307-3508
(920) 433-0111
(920) 433-8765
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
448-121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39762800
—
WI
Enumeration date
08/31/2006
Last updated
06/09/2008
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