Edwin Bacalso
NPI #1023661659 in Thiensville, Wisconsin
Provider Information
- NPI Number
- 1023661659
- Entity Type
- Individual
- Name
- Edwin Bacalso
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 23, 2019
- Last Updated
- May 7, 2024
Practice Location
- Address
- 13111 N PORT WASHINGTON RD
- City
- Thiensville
- State
- Wisconsin
- ZIP Code
- 53097-2416
- Phone
- (262) 243-6127
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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