Individual
MS. VICKI LYNN MOHORICH-FLANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4811 S 76TH ST, GREENFIELD, WI 53220-4364
(262) 330-0022
Mailing address
16215 W HEATHERLY DR, NEW BERLIN, WI 53151-9236
(414) 217-5390
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
12502
WI
101Y00000X
Counselor
2093-132
WI
1041C0700X
Clinical Social Worker
Primary
7609-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12502
ICS DEPT OF REG & LIC
WI
01
—
2093132
CSAC DEPT OF REG & LIC
WI
Enumeration date
09/28/2007
Last updated
07/10/2024
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