Peter J Isely LCSW

NPI 1053706226 - Social Worker - 1041C0700X

NPI Details
NPI 1053706226
Gender Male
Enumeration Date 04/03/2015
Last Updated 04/03/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
10045 W LISBON AVE
WAUWATOSA WI, 53222-2446, US
Phone (414) 429-7259
Fax (414) 393-1460
Business Location
10045 W LISBON AVE
WAUWATOSA WI, 53222-2446, US
Phone (414) 429-7259
Fax (414) 393-1460
Toxanomy
Taxonomy Code 1041C0700X
License State Wisconsin
License Number 2997-123
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According to our database, Mr. Peter J Isely LCSW NPI is 1053706226, taxonomy code is 1041C0700X and license number is 2997-123, license state is located at Wisconsin. Peter J Isely LCSW physically located at 10045 W Lisbon Ave, Wauwatosa WI, 53222-2446. NPI Number Peter J Isely LCSW has the Individual type.

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1053706226 NPI number is provided on an as is basis without warranty of any kind. 1053706226 is maintained by the National Plan & Provider Enumeration System. The contents of Peter J Isely LCSW are for informational purposes only.