Individual
MR. TERRANCE S MAPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3860 MONROE RD, DE PERE, WI 54115
(920) 272-1200
(920) 272-1201
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 272-1200
(920) 272-1201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2880-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39675600
—
WI
Enumeration date
08/13/2006
Last updated
12/16/2020
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