Doctor Name: | MR. RONALD JOHN MCGUIRE |
NPI Number: | 1245465715 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S.W., A.C.S.W. |
License Number: | 1221-123 |
Business Practice Address: | 203 Main St Black River Falls, WI - 546151794 |
Business Phone Number: | 7152844233 |
Business Fax Number: | 5074544890 |
Mailing Address: | 51 E 4th St, Suite 307 WINONA |
State: | MN |
Postal Code: | 559873507 |
Phone Number: | 5074544890 |
Fax Number: | 5074544890 |
NPI Enumeration Date: | 05/27/2009 |
NPI Last Update Date: | 05/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1221-123 |
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 |