Provider Information for 1992252019
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PAUL M SCHROEDER-HAAG LPC-IT, SAC-IT
Sex: Male
NPI: 1992252019
Last Updated: 2022-07-21
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||
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NPI | 1992252019 | ||||||||||||
Enumeration Date | 2016-09-07 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | W175N11120 STONEWOOD DR GERMANTOWN, WI 53022-6511 United States Phone: 800-438-1772 | Fax:262-345-5562 | ||||||||||||
Primary Practice Address | 4351 W COLLEGE AVE STE 410 APPLETON, WI 54914-3928 United States Phone: 800-438-1772 | Fax:262-345-5562 | ||||||||||||
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