Jason W Traxel, LCSW
NPI #1821160219 in Port Washington, Wisconsin
Provider Information
- NPI Number
- 1821160219
- Entity Type
- Individual
- Name
- Jason W Traxel, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Nov 14, 2006
- Last Updated
- Mar 12, 2015
Practice Location
- Address
- 121 W MAIN ST
- City
- Port Washington
- State
- Wisconsin
- ZIP Code
- 53074-1813
- Phone
- (262) 284-8200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Social Worker - Clinical — Clinical |
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