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Individual

PROF. DAVID R WINTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
10229 W GREENFIELD AVE, WEST ALLIS, WI 53214-3911
(414) 453-6330
(414) 453-6523
Mailing address
10229 W GREENFIELD AVE, WEST ALLIS, WI 53214-3911
(414) 453-6330
(414) 453-6523

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
145-058
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
145-058
STATE OF WISCONSIN
WI
Enumeration date
03/06/2008
Last updated
03/06/2008
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