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Individual

DANA S VAUGHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
2600 N MAYFAIR RD, #650, WAUWATOSA, WI 53226-1309
(414) 771-9304
Mailing address
2140 VINCENT DR, BROOKFIELD, WI 53045-1806
(262) 789-8369

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3885
WI

Other

Enumeration date
12/27/2006
Last updated
07/08/2007
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