Southida Xayachack
Southida Xayachack is a Clinical Social Worker in Brown Deer, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.
- Licensed in
- WI
- In the registry since
- 2016
Practice location Address checks out
3900 W Brown Deer Rd Ste 200Brown Deer, WI 53209-1220
Phone: (414) 540-2170
Fax: (414) 540-2171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 130138 (WI) |
|---|
Record details
| NPI number | 1487107215 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 28, 2016 |
| Last updated in NPPES | July 28, 2016 |
| Mailing address | 3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209-1220 |
Other providers in Brown Deer
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Carol Grace Trout, LCSW7269123
3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209 · (414) 540-2170
-
Mrs. Jacqueline Christine Wichert, LCSW
3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 · (414) 540-2170
-
Sarah Wiersma
3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 · (414) 540-2170
-
Carol Williams Omernik
3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 · (414) 540-2170
-
Susell Zarza-O'Neill
3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 · (414) 540-2170
-
Kelli Zelinger
3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 · (414) 540-2170