Living for Liberation
NPI #1194423830 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1194423830
- Entity Type
- Organization
- Organization Name
- Living for Liberation
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 22, 2023
- Last Updated
- May 12, 2023
Practice Location
- Address
- 111 WARREN ST STE 2
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-3084
- Phone
- (262) 226-0391
Authorized Official
- Name
- MRS. SHANNON BERNICE WESTPHAL, MSW, LCSW
- Title
- PSYCHOTHERAPIST
- Phone
- (262) 226-0391
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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