Jody L Pickruhn, LCSW Valid NPI
Individual provider · Clinical Social Worker · Summit, WI
- NPI
- 1194750208
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 7555-123 (WI)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-07-11
- Last updated
- 2024-02-14
Practice location
36500 Aurora Dr
Summit, WI 53066-4899
(414) 773-4312