Female

Angela Ertl LCSW

Clinical Social Worker in Brookfield, WI(View on Map)

Full Name

Angela Ertl LCSW

NPI Number

1952712556

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/16/2014

Specialties

(Taxonomies)

Code

1041C0700X
104100000X

Primary Taxonomy

Yes
No

Licenses

State

North Dakota
Wisconsin

License Number

4615
8508-123

Contact
Information

Purpose

Mailing
Location

Address

W175N11120 STONEWOOD DR
17100 W NORTH AVE

City

Germantown
Brookfield

State

WI
WI

Postal Code

53022-6511
53005-4436

Country

US
US

Telephone Number

(800) 438-1772
(800) 438-1772

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/11/2016

Provider Address

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