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General NPI Number Information
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NPI Number | 1194654095
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Entity Type | Individual
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Provider Name | ASHLEY SUSAN YUENGER LCSW, SAC-IT
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Gender | Female
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Dates
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Enumeration Date | 05/16/2026
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Last Update Date | 05/16/2026
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Provider Practice Location Address
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Address Line | 13850 W CAPITOL DR
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City | BROOKFIELD
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State | WI
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Zip | 53005-2422
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Country | US
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Telephone | 414-310-9948
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Fax | 414-409-5150
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Provider Business Mailing Address
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Address Line | 921 S 113TH ST
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City | WEST ALLIS
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State | WI
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Zip | 53214-2215
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 12779123
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License Number State | WI
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