Caley Deloris Mamerow, LPC | |
1230 Corporate Center Dr Ste 100, Oconomowoc, WI 53066-4883 | |
(262) 789-1191 | |
Not Available |
Full Name | Caley Deloris Mamerow |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1230 Corporate Center Dr Ste 100, Oconomowoc, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306446430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 10051-125 (Wisconsin) | Primary |
Entity Name | Abg Wellness Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184087389 PECOS PAC ID: 0345536785 Enrollment ID: O20160909002340 |
Mailing Address | Practice Location Address |
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Caley Deloris Mamerow, LPC 1230 Corporate Center Dr Ste 100, Oconomowoc, WI 53066-4883 Ph: (262) 370-1540 | Caley Deloris Mamerow, LPC 1230 Corporate Center Dr Ste 100, Oconomowoc, WI 53066-4883 Ph: (262) 789-1191 |
Theresa M Kerner, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 E Forest St, Oconomowoc, WI 53066 Phone: 262-661-1759 | |
Ms. M Fay Sanders, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 888 Thackeray Trl Ste 105, Oconomowoc, WI 53066 Phone: 262-542-3255 Fax: 262-567-5451 | |
Kelly Muston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1230 Corporate Center Dr, Suite 100, Oconomowoc, WI 53066 Phone: 262-789-1191 | |
Rose Worden, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 36100 Genesee Lake Rd, Oconomowoc, WI 53066 Phone: 262-569-5515 | |
Michelle J Damm, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 418 E Wisconsin Ave, Oconomowoc, WI 53066 Phone: 414-429-6403 | |
Amanda Donath, LPC Counselor Medicare: Medicare Enrolled Practice Location: 712 Summit Ave Ste 714, Oconomowoc, WI 53066 Phone: 262-226-2006 Fax: 262-226-2462 | |
Ms. Debra A Adamus, CLINICAL SUBSTANCE A Counselor Medicare: Not Enrolled in Medicare Practice Location: 418 E Wisconsin Ave, Oconomowoc, WI 53066 Phone: 414-429-6403 Fax: 262-354-0794 |