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239 E. Chicago St. #203 Milwaukee WI 53202-3007 | |
| (414) 331-0952 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 239 E. Chicago St., Milwaukee, Wisconsin |
| Authorized Official Name and Position | Dawn R Nelson (CLINICAL PSYCHOLOGIST, OWNER) |
| Authorized Official Contact | 4143310952 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
239 E. Chicago St. #203 Milwaukee WI 53202-3007 Ph: (414) 331-0952 | 239 E. Chicago St. #203 Milwaukee WI 53202-3007 Ph: (414) 331-0952 |
| NPI Number | 1891810602 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891810602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3157 (North Carolina) | Primary |
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