County of Walworth

NPI #1952618043 in Elkhorn, Wisconsin

Provider Information

NPI Number
1952618043
Entity Type
Organization
Organization Name
County of Walworth
Subpart
Yes (part of a larger organization)
Parent Organization
COUNTY OF WALWORTH
Primary Specialty
Dental Assistant
Enumeration Date
Sep 10, 2010
Last Updated
Aug 28, 2023

Practice Location

Address
1910 COUNTY ROAD NN
ZIP Code
53121-4454
Phone
(262) 741-3200

Authorized Official

Name
MR. CARLO JON NEVICOSI, MSW, LCSW
Title
DIRECTOR
Phone
(262) 741-3200

Specialties & Taxonomy Codes

Specialty
Dental Assistant

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