Doctor Name: | MS. SUE ANNE HUBER |
NPI Number: | 1205853801 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW LCSW |
License Number: | 3744-123 |
Business Practice Address: | 1800 Lawrence Dr De Pere, WI - 541159108 |
Business Phone Number: | 9203361229 |
Business Fax Number: | 9209833226 |
Mailing Address: | 1800 Lawrence Dr, DE PERE |
State: | WI |
Postal Code: | 541159108 |
Phone Number: | 9203361229 |
Fax Number: | 9209833226 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 04/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 3744-123 |
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 |