Catherine M Connelly LCSW

NPI 1194923219 - Social Worker - 1041C0700X

NPI Details
NPI 1194923219
Gender Female
Enumeration Date 07/10/2007
Last Updated 07/10/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1220 DEWEY AVE
BLDG 1
WAUWATOSA WI, 53213-2504, US
Phone (414) 454-6506
Fax (414) 454-6450
Business Location
1220 DEWEY AVE
BLDG 1
WAUWATOSA WI, 53213-2504, US
Phone (414) 454-6506
Fax (414) 454-6450
Toxanomy
Taxonomy Code 1041C0700X
License State Wisconsin
License Number 1972-123
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According to our database, Catherine M Connelly LCSW NPI is 1194923219, taxonomy code is 1041C0700X and license number is 1972-123, license state is located at Wisconsin. Catherine M Connelly LCSW physically located at 1220 Dewey Ave, Wauwatosa WI, 53213-2504. NPI Number Catherine M Connelly LCSW has the Individual type.

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1194923219 NPI number is provided on an as is basis without warranty of any kind. 1194923219 is maintained by the National Plan & Provider Enumeration System. The contents of Catherine M Connelly LCSW are for informational purposes only.