| Doctor Name: | MRS. SANDRA LYNN MUETZEL |
| NPI Number: | 1407078835 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | 6876-123 |
| Business Practice Address: | W247s10395 Center Dr Mukwonago, WI - 531499166 |
| Business Phone Number: | 2626625900 |
| Business Fax Number: | 2626625688 |
| Mailing Address: | 826 Chelsea Dr, ELKHORN |
| State: | WI |
| Postal Code: | 531211198 |
| Phone Number: | 2627431760 |
| Fax Number: | 2626625688 |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6876-123 |
| 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 |