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 9 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.

Sponsored links

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.