| Affiliated Wellness Group Llc | |
|
N27w23960 Paul Rd Ste 202 Pewaukee WI 53072-6218 | |
| (262) 646-8288 | |
| (262) 646-8255 |
| Full Name | Affiliated Wellness Group Llc |
|---|---|
| Speciality | Social Worker |
| Location | N27w23960 Paul Rd Ste 202, Pewaukee, Wisconsin |
| Authorized Official Name and Position | Joelle Kathleen Ottoson (OWNER) |
| Authorized Official Contact | 2626468288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affiliated Wellness Group Llc N27w23960 Paul Rd Ste 202 Pewaukee WI 53072-6218 Ph: (262) 646-8288 | Affiliated Wellness Group Llc N27w23960 Paul Rd Ste 202 Pewaukee WI 53072-6218 Ph: (262) 646-8288 |
| NPI Number | 1386678423 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 03/31/2020 |
| Certification Date | 03/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386678423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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