Edwin Bacalso, | |
13111 N Port Washington Rd, Thiensville, WI 53097-2416 | |
(262) 243-6127 | |
Not Available |
Full Name | Edwin Bacalso |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 13111 N Port Washington Rd, Thiensville, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023661659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 131474-121 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
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Edwin Bacalso, 5215 N Ironwood Rd, Suite 202 Pmb 1013, Glendale, WI 53217-2416 Ph: (414) 367-4447 | Edwin Bacalso, 13111 N Port Washington Rd, Thiensville, WI 53097-2416 Ph: (262) 243-6127 |
Jeanette Joseph Baas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 122 Green Bay Rd Ste 3, Thiensville, WI 53092 Phone: 414-306-8655 | |
Samantha Cacace, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 136 N Main St Ste 201, Thiensville, WI 53092 Phone: 803-606-1314 |