MRS. Mary Beth Proell, MSW, LCSW

NPI #1992186365 in Sussex, Wisconsin

Provider Information

NPI Number: 1992186365
Entity Type: Individual
Name: MRS. Mary Beth Proell, MSW, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW, LCSW
Enumeration Date: Jun 11, 2015
Last Updated: Jun 11, 2015

Practice Location

Address: N59W24495 QUAIL RUN LN
City: Sussex
State: Wisconsin
ZIP Code: 53089-3682
Phone: (414) 416-7310

Specialties & Taxonomy Codes

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

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