Doctor Name: | MS. ANN A. SOE |
NPI Number: | 1053475616 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSSW, LCSW |
License Number: | 3065 |
Business Practice Address: | 320 W Grand Ave Suite 304a Wisconsin Rapids, WI - 544952781 |
Business Phone Number: | 7154246960 |
Business Fax Number: | 7154246963 |
Mailing Address: | 320 W Grand Ave, Suite 304a WISCONSIN RAPIDS |
State: | WI |
Postal Code: | 544952781 |
Phone Number: | 7154246960 |
Fax Number: | 7154246963 |
NPI Enumeration Date: | 12/20/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 3065 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |