NPI 1003294729

Joshua Lee Zimmer

Practitioner Social Worker Green Bay, WI

Practice location

Address: 2680 Vernon Dr, Green Bay, WI 54304-5374
Phone: (920) 517-0044

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X

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Registry record

NPI: 1003294729
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 May 2015
Record last updated: 29 Oct 2015

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.