Watters, Colleen Fassett
Watters, Colleen Fassett is an individual health care provider with primary practice located at 9455 W Watertown Plank Rd , Milwaukee WI 53226-3559. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Watters, Colleen Fassett can be contacted via phone (414) 257-7222.Contact Information
Primary practice address
9455 W Watertown Plank Rd
Milwaukee WI 53226-3559
Phone: (414) 257-7222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7047-123 | Wisconsin |
Profile Details
| NPI number | 1760658223 |
|---|---|
| LBN Legal business name | Watters, Colleen Fassett |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2008 |
| Last updated | May 5th, 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 | 1760658223 | NPPES |
| Wisconsin | Other | 7047-123 | LCSW |
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