EDWIN BACALSO
Social Worker - Clinical
Active
Individual
NPI: 1023661659
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 131474-121 (WI) |
Frequently Asked Questions
NPI 1023661659 is the National Provider Identifier for EDWIN BACALSO, a Social Worker - Clinical provider located in Thiensville, WI. This NPI was enumerated on July 23, 2019.
EDWIN BACALSO practices at 13111 N PORT WASHINGTON RD, Thiensville, WI 53097.
Quick Facts
- NPI
- 1023661659
- Type
- Individual
- Enumerated
- Jul 23, 2019
- Last Updated
- May 7, 2024
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