Individual
MR. ROBERT L RIEGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1220 DEWEY AVE, LORTON II, WAUWATOSA, WI 53213-2504
(414) 454-6500
(414) 454-6527
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1880-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39797800
—
WI
Enumeration date
08/24/2006
Last updated
06/04/2024
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