Search › Wisconsin › 1041C0700X
Fred Malesevich, LCSW, ACSW, DAPA
NPI 1396752598 · on the registry since 2006 · sole proprietor
Practice
- Address
- S110w30520 Ymca Camp Rd
Mukwonago, WI 53149 - Phone
- (262) 777-1833
- Organisation at this address
- Crossroad Therapy, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-09-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin