Individual
MR. THOMAS ANTHONY NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
9401 W BELOIT RD, SUITE 416, MILWAUKEE, WI 53227-4357
(414) 327-4242
Mailing address
9401 W BELOIT RD, SUITE 416, MILWAUKEE, WI 53227-4357
(414) 327-4242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1671 - 123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39595100
—
WI
Enumeration date
10/28/2008
Last updated
10/28/2008
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