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General NPI Number Information
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NPI Number | 1790230589
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Entity Type | Organization
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Legal Business Name | LOIS PULVERMACHER AND ASSOCIATES LLC
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Dates
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Enumeration Date | 08/22/2016
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 101 PRIMROSE LN
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City | GREEN BAY
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State | WI
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Zip | 54311-6882
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Country | US
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Telephone | 920-712-4526
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Fax | 800-469-0235
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Provider Business Mailing Address
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Address Line | 101 PRIMROSE LN
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City | GREEN BAY
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State | WI
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Zip | 54311-6882
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Country | US
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Telephone | 920-712-4526
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Fax | 800-469-0235
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Authorized Official
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Title or Position | OWNER
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Name | LOIS A PULVERMACHER
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Credential | LCSW
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Telephone | 920-712-4526
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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 | LCSW 7302-123
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License Number State | WI
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