Eliese Christine Rucktenwald, M.S.W., LCSW

NPI #1689851313 in Brown Deer, Wisconsin

Provider Information

NPI Number: 1689851313
Entity Type: Individual
Name: Eliese Christine Rucktenwald, M.S.W., LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: M.S.W., LCSW
Enumeration Date: Jan 24, 2008
Last Updated: Jul 18, 2012

Practice Location

Address: 3900 W BROWN DEER RD
Address 2: SUITE 200
City: Brown Deer
State: Wisconsin
ZIP Code: 53209-1220
Phone: (414) 540-1270

Specialties & Taxonomy Codes

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

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