Liza Jayne Drake LCSW

NPI 1023035474 - Social Worker - 1041C0700X

NPI Details
NPI 1023035474
Gender Female
Enumeration Date 07/15/2006
Last Updated 03/02/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
W4051 COUNTY ROAD NN
ELKHORN WI, 53121-4338, US
Phone (262) 741-3200
Fax (262) 741-3315
Business Location
7432 W BLUEMOUND RD
WAUWATOSA WI, 53213-3655, US
Phone (414) 807-3477
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Wisconsin
License Number 7220123
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According to our database, Liza Jayne Drake LCSW NPI is 1023035474, taxonomy code is 1041C0700X and license number is 7220123, license state is located at Wisconsin. Liza Jayne Drake LCSW physically located at W4051 County Road Nn, Elkhorn WI, 53121-4338. NPI Number Liza Jayne Drake LCSW has the Individual type.

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1023035474 NPI number is provided on an as is basis without warranty of any kind. 1023035474 is maintained by the National Plan & Provider Enumeration System. The contents of Liza Jayne Drake LCSW are for informational purposes only.