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NPI Code Detail

MEDICARE: AND STILL SHE BLOOMS LLC

MEDICARE: AND STILL SHE BLOOMS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1801761309
Entity Type Code : Organization
Provider Name (Legal Business Name) : AND STILL SHE BLOOMS LLC
Provider Business Mailing Address
First Line : 1022 RIVER PLACE BLVD UNIT 18
Second Line :
City : WAUKESHA
State : WI
Zip : 53189-7891
Country : US
Telephone Number : 414-940-3670
Fax Number :
Provider Business Practice Location Address
First Line : 10731 W FOREST HOME AVE STE 114
Second Line :
City : HALES CORNERS
State : WI
Zip : 53130-2555
Country : US
Telephone Number : 262-666-4892
Fax Number :
Authorized Official
Title or Position : THERAPIST
Name : PAULA SWARTZ
Credential : LCSW
Telephone Number : 414-940-3670
Provider Enumeration Date : 10/06/2025
Last Update Date : 10/06/2025

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Directions to “AND STILL SHE BLOOMS LLC ” Practice Location

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