Harbor Shore Wellness Pllc | |
8114 41st Ave Kenosha WI 53142 | |
(262) 358-3592 | |
Not Available |
Full Name | Harbor Shore Wellness Pllc |
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Speciality | Social Worker - Clinical |
Location | 8114 41st Ave, Kenosha, Wisconsin |
Authorized Official Name and Position | John Rocha (PSYCHOTHERAPIST) |
Authorized Official Contact | 2623583592 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Harbor Shore Wellness Pllc 8114 41st Ave Kenosha WI 53142-4544 Ph: (262) 358-3592 | Harbor Shore Wellness Pllc 8114 41st Ave Kenosha WI 53142 Ph: (262) 358-3592 |
NPI Number | 1104520840 |
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Provider Enumeration Date | 03/28/2023 |
Last Update Date | 03/28/2023 |
Certification Date | 03/08/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104520840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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