MR. Wade Thomas Koski, LCSW
NPI #1235201914 in Greenfield, Wisconsin
Provider Information
- NPI Number
- 1235201914
- Entity Type
- Individual
- Name
- MR. Wade Thomas Koski, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Nov 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4402 S 68TH ST
- Address 2
- SUITE 100
- City
- Greenfield
- State
- Wisconsin
- ZIP Code
- 53220-3479
- Phone
- (414) 321-4411
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