Individual
MRS. PATRICIA ANN MODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5225 NORTH IRONWOOD RD., SUITE 102, GLENDALE, WI 53217
(414) 962-9156
(414) 962-4356
Mailing address
5225 NO IRONWOOD ROAD, STRESS MANAGEMENT, GLENDALE, WI 53217
(414) 962-9156
(414) 962-4356
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3008123LCSW
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40963800
—
WI
Enumeration date
08/27/2006
Last updated
07/08/2007
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