Individual
ALEXANDRA DUTTON WILK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11518 N PORT WASHINGTON RD STE 202, MEQUON, WI 53092-3443
(262) 490-0756
Mailing address
10422 W HILLSIDE AVE, WAUWATOSA, WI 53222-2323
(262) 490-0756
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11074123
WI
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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