Individual
SUSAN A. WEIMERSKIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
705 S 24TH AVE, SUITE 402, WAUSAU, WI 54401-5242
(715) 848-1457
Mailing address
705 S 24TH AVE, SUITE 402, WAUSAU, WI 54401-5242
(715) 848-1457
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
434-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39568200
—
WI
Enumeration date
05/02/2008
Last updated
05/02/2008
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