Clough, Patricia Glatzel

Clough, Patricia Glatzel is an individual health care provider with primary practice located at 418 E Wisconsin Ave , Oconomowoc WI 53066-3040. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Clough, Patricia Glatzel can be contacted via phone (414) 429-6403.

Contact Information

Primary practice address
418 E Wisconsin Ave Oconomowoc WI 53066-3040
Phone: (414) 429-6403
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3398125 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1477543981
LBN Legal business name Clough, Patricia Glatzel
Credentials MS, ATR, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Aug 3rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477543981 NPPES
Wisconsin MEDICAID 40961900

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