Male or Other

Mr. Michael G. Pazdan LCSW MSSW CSAC ICS S

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

Full Name

Mr. Michael G Pazdan LCSW MSSW CSAC ICS S

NPI Number

1750492047

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/31/2006

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

180-123

Contact
Information

Purpose

Mailing
Location

Address

13950 W CAPITOL DR FL 2
13950 W CAPITOL DR FL 2

City

Brookfield
Brookfield

State

WI
WI

Postal Code

53005-2441
53005-2441

Country

US
US

Telephone Number

(414) 874-6288
(414) 874-6288

Identifiers

Identifier

39230400

Identifier State

WI

Identifier Issuer

Unknown

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

Data last updated by provider on 02/22/2021

Provider Address

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