Provider Information for 1851864029
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DANIEL CHADWICK MS, LPC, NBCC
Sex: Male
NPI: 1851864029
Last Updated: 2023-08-25
Certification Date: 2023-08-25
Certification Date: 2023-08-25
Details
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NPI | 1851864029 | ||||||||||||||||
Enumeration Date | 2019-01-09 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | YES | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | 741 N GRAND AVE STE 204 WAUKESHA, WI 53186-4841 United States Phone: 262-299-6755 | Fax: | ||||||||||||||||
Primary Practice Address | 2607 N GRANDVIEW BLVD STE 164 WAUKESHA, WI 53188-1686 United States Phone: 262-299-6755 | Fax: | ||||||||||||||||
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