|Active||Over 10 years ago|
|5900 S LAKE DR
CUDAHY WI, 53110-3171, US
|564 E JORDAN LN
OAK CREEK WI, 53154-7082, US
|License Number||1648-123, 13932-131|
|Remove 1114138179 NPI Number|
According to our database, Ms. Lisa Ann Magnus LCSW, SAC NPI is 1114138179, taxonomy code is 1041C0700X and license number is 1648-123, 13932-131, license state is located at Wisconsin. Lisa Ann Magnus LCSW, SAC physically located at 5900 S Lake Dr, Cudahy WI, 53110-3171. NPI Number Lisa Ann Magnus LCSW, SAC has the Individual type.
1114138179 NPI number is provided on an as is basis without warranty of any kind. 1114138179 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Ann Magnus LCSW, SAC are for informational purposes only.