Allen, Willie
Allen, Willie is an individual health care provider with primary practice located at 6049 W Silver Brook Ln , Brown Deer WI 53223-2242. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Allen, Willie can be contacted via phone (414) 355-3462.Contact Information
Primary practice address
6049 W Silver Brook Ln
Brown Deer WI 53223-2242
Phone: (414) 355-3462
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 965-123 | Wisconsin |
Profile Details
| NPI number | 1588841951 |
|---|---|
| LBN Legal business name | Allen, Willie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2008 |
| Last updated | Jan 28th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588841951 | NPPES |
| Wisconsin | Other | 965-123 | LCSW |
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