Individual
MISS MARY E ZDROIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
1225 W MITCHELL ST, #223, MILWAUKEE, WI 53204-3383
(414) 383-4455
(414) 727-8730
Mailing address
1225 W MITCHELL ST, #223, MILWAUKEE, WI 53204-3383
(414) 383-4455
(414) 727-8730
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11450-132
WI
104100000X
Social Worker
5314-120
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11450-132
LICENSE-CSAC
WI
01
—
5314-120
LICENSE-SOCIAL WORKER
WI
Enumeration date
01/29/2013
Last updated
01/29/2013
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