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

MR. PAUL MICHAEL DEFAZIO, MSW

Active

MR. PAUL MICHAEL DEFAZIO, MSW is a Clinical Social Worker healthcare provider located in KENOSHA, Wisconsin. NPI 1740326370 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · KENOSHA, WI

Registration Details

NPI Number
1740326370
Provider Type
Individual
Gender
Male
NPI Issued
Jan 30, 2007 (19.511011500026 yrs)
Last Updated
Jul 8, 2007
License
3123123 (WI)

Practice Information

Address
3734 7TH AVENUE
SUITE 24
KENOSHA, WI, 53140
Browse WI providers · Browse ZIP 53140
Phone
2626540487
Fax
2626542434
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in KENOSHA, WI

Name Credential NPI
MS. KATHRYN L WEEKS LCSW 1447293097
AMY B ANDERSON MSW 1295766186
JANE POHL MSW 1265463152
LISA SACHS MSW 1700811965
LINDA M. TISO MSW, LCSW, SAC 1013937341
MS. KATHY L BANDSTRA LCSW 1952310625
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.