Philip Chard, MS, LCSW

NPI #1205107794 in Pewaukee, Wisconsin

Provider Information

NPI Number: 1205107794
Entity Type: Individual
Name: Philip Chard, MS, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MS, LCSW
Enumeration Date: Jan 16, 2012
Last Updated: Jan 16, 2012

Practice Location

Address: 1177 QUAIL CT
Address 2: SUITE 101
City: Pewaukee
State: Wisconsin
ZIP Code: 53072-3790
Phone: (262) 247-0269

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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