Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 4283125 | WI |
NPI | 1003107012 |
---|---|
Provider Name | Hilary Mcelroy |
First Address | Middleton, WI 53562-3876 |
Second Address | Middleton, WI 53562-3876 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2011 |
Last Update Date | 25/04/2011 |