Individual
STEPHEN L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1032 S 16TH ST, SUITE 219, MILWAUKEE, WI 53204
(414) 672-3145
(414) 383-5597
Mailing address
2906 S 20TH ST, SUITE 219, MILWAUKEE, WI 53215-3732
(414) 897-5511
(414) 385-7552
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
976123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39586600
—
WI
Enumeration date
05/03/2006
Last updated
02/07/2017
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