Lisa Ann Magnus LCSW, SAC

NPI 1114138179 - Social Worker - 1041C0700X

NPI Details
NPI 1114138179
Gender Female
Enumeration Date 05/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5900 S LAKE DR
CUDAHY WI, 53110-3171, US
Phone (414) 489-4421
Fax (414) 489-4056
Business Location
OAK CREEK WI, 53154-7082, US
Phone (414) 570-6049
Taxonomy Code 1041C0700X
License State Wisconsin
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.

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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.