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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIESE CHRISTINE RUCKTENWALD, M.S.W., LCSW

Active Sole Proprietor

ELIESE CHRISTINE RUCKTENWALD, M.S.W., LCSW is a Clinical Social Worker healthcare provider located in BROWN DEER, Wisconsin. NPI 1689851313 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BROWN DEER, WI

Registration Details

NPI Number
1689851313
Provider Type
Individual
Gender
Female
NPI Issued
Jan 24, 2008 (18.532916727734 yrs)
Last Updated
Jul 18, 2012
License
7639-123 (WI)
Sole Proprietor
Yes

Practice Information

Address
3900 W BROWN DEER RD
SUITE 200
BROWN DEER, WI, 532091220
Browse WI providers · Browse ZIP 53209
Phone
4145401270
Fax
4145402171
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in BROWN DEER, WI

Name Credential NPI
VERA HARRIS MSW, LCSW, CADC 1275556953
MS. CLARE ANN LEWIS LCSW 1972604809
CAROL GRACE TROUT LCSW 7269123 1649359308
MS. PAM A CASS LCSW 1336209386
ANNETTE E MADISON MSW, LCSW 1104973361
DR. JOSE B. TORRES PHD. 1013031319
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.