Organization
TWO WILLOWS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUE ELIZABETH JENNINGS LCSW (OWNER)
(414) 931-1278
Entity
Organization
Contact information
Practice address
1414 UNDERWOOD AVE STE 400, WAUWATOSA, WI 53213-2653
(414) 931-1278
Mailing address
2115 N 117TH ST, WAUWATOSA, WI 53226-2113
14147450214
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8136-123
WI
Other
Enumeration date
07/19/2017
Last updated
05/15/2024
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