Individual
MRS. PAMELA LYNN MYTYCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
11035 W FOREST HOME AVE, HALES CORNERS, WI 53130-2541
(414) 525-9897
Mailing address
N76W16347 SHERWOOD DR, MENOMONEE FALLS, WI 53051-7426
(262) 251-5781
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1676-121
WI
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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