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

EBB TIDE THERAPY

Active Organization

EBB TIDE THERAPY is a Clinical Social Worker organization located in MILWAUKEE, Wisconsin. NPI 1720353741 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · MILWAUKEE, WI

Registration Details

NPI Number
1720353741
Provider Type
Organization
NPI Issued
Mar 9, 2012 (14.452056474745 yrs)
Last Updated
Jul 5, 2012
Licenses
1971-132
7197-123 (WI)

Practice Information

Address
2821 N 4TH ST STE 209
MILWAUKEE, WI, 532122367
Browse WI providers · Browse ZIP 53212
Phone
4143727212
Fax
4143727213
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Organizations in MILWAUKEE, WI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.