Peter Joseph Vandusartz III, LCSW

NPI #1366214496 in Hudson, Wisconsin

Provider Information

NPI Number
1366214496
Entity Type
Individual
Name
Peter Joseph Vandusartz III, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Oct 23, 2023
Last Updated
Oct 23, 2023

Practice Location

Address
405 STAGELINE RD
City
Hudson
ZIP Code
54016-7848
Phone
(612) 396-6313

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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