| Josie Cusma Llc | |
|
13965 W Burleigh Rd Suite 203 Brookfield WI 53005-3074 | |
| (262) 785-2776 | |
| (262) 785-2773 |
| Full Name | Josie Cusma Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 13965 W Burleigh Rd, Brookfield, Wisconsin |
| Authorized Official Name and Position | Josie Cusma (OWNER) |
| Authorized Official Contact | 2627852776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Josie Cusma Llc 634 Milwaukee St. Delafield WI 53018-0680 Ph: (262) 646-6280 | Josie Cusma Llc 13965 W Burleigh Rd Suite 203 Brookfield WI 53005-3074 Ph: (262) 785-2776 |
| NPI Number | 1770796492 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 03/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770796492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6588 (Wisconsin) | Primary |
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