Mary Determan Msw, Llc

LBN: Mary Determan Msw, Llc
Mary Determan Msw, Llc is an health care organization with primary practice located at 5757 W Oklahoma Ave Suite 203, Milwaukee WI 53219-4303. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Mary Determan Msw, Llc can be contacted via phone (414) 431-6400, or through Rozga, Maryellen via phone (414) 431-6400.

Contact Information

Primary practice address
5757 W Oklahoma Ave Suite 203 Milwaukee WI 53219-4303
Phone: (414) 431-6400
Fax: (414) 431-6401
Website:
Map and Directions
Authorized official contact:
Name: Rozga, Maryellen
Phone: (414) 431-6400

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2357 Wisconsin

Profile Details

NPI number 1861524365
LBN Legal business name Mary Determan Msw, Llc
DBA Doing business as
Authorized official Rozga, Maryellen
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861524365 NPPES
Wisconsin MEDICAID 42235600

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