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Benjamin Peerbolt, LCSW
NPI 1679844898 · on the registry since 2012
Practice
- Address
- 5420 W State St
Milwaukee, WI 53208 - Phone
- (414) 509-7060
- Fax
- (414) 509-7388
- Organisation at this address
- Shannon James Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-08-31
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