| Park West Social & Psychotherapy Services,inc | |
|
3353 N Martin Luther King Dr Milwaukee WI 53212-1455 | |
| (414) 771-0227 | |
| (414) 771-0227 |
| Full Name | Park West Social & Psychotherapy Services,inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3353 N Martin Luther King Dr, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Clorine Henderson-harris (DIRECTOR/PSYCHOTHERAPIST) |
| Authorized Official Contact | 4147710227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park West Social & Psychotherapy Services,inc 3353 N Martin Luther King Dr Milwaukee WI 53212-1455 Ph: (414) 771-0227 | Park West Social & Psychotherapy Services,inc 3353 N Martin Luther King Dr Milwaukee WI 53212-1455 Ph: (414) 771-0227 |
| NPI Number | 1700027349 |
|---|---|
| Provider Enumeration Date | 03/11/2009 |
| Last Update Date | 03/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700027349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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