Individual
MR. EDWARD MISCHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
S75W31046 FLORENCE CT, MUKWONAGO, WI 53149-9215
(262) 949-9028
Mailing address
S75W31046 FLORENCE CT, MUKWONAGO, WI 53149-9215
(262) 949-9028
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11692-123
WI
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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