NPI 1003135039

Dan Borchardt, BA

Practitioner Social Worker Waukesha, WI

Practice location

Address: 500 Riverview Ave, Waukesha, WI 53188-3632
Phone: (262) 896-8532

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 7384-120 (WI)

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Registry record

NPI: 1003135039
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2010
Record last updated: 1 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.