Patrick Kevin Cork, LCSW | |
120 E Ladd Ln, Edgerton, WI 53534-1300 | |
(608) 884-0064 | |
Not Available |
Full Name | Patrick Kevin Cork |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 120 E Ladd Ln, Edgerton, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962979120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2438-123 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Patrick Kevin Cork, LCSW 120 E Ladd Ln, Edgerton, WI 53534-1300 Ph: (608) 884-0064 | Patrick Kevin Cork, LCSW 120 E Ladd Ln, Edgerton, WI 53534-1300 Ph: (608) 884-0064 |
Amanda Boman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11101 N Sherman Rd, Edgerton, WI 53534 Phone: 608-884-3441 | |
Ms. Janna Lynn Hack, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 302 S. Main St., Edgerton, WI 53534 Phone: 608-239-7648 |