Healthcare Provider Details

I. General information

NPI: 1437548559
Provider Name (Legal Business Name): ALLISON DREIER MSW APSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2015
Last Update Date: 01/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 HALL AVE SUITE B
MARINETTE WI
54143-1655
US

IV. Provider business mailing address

2500 HALL AVE SUITE B
MARINETTE WI
54143-1655
US

V. Phone/Fax

Practice location:
  • Phone: 715-732-7700
  • Fax: 715-732-7646
Mailing address:
  • Phone: 715-732-7700
  • Fax: 715-732-7646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number129517
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: