Provider Demographics
NPI:1104011170
Name:SLAWNY, ANNA M (MS)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:M
Last Name:SLAWNY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3248 S WOLLMER RD
Mailing Address - Street 2:APT C
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53227-4704
Mailing Address - Country:US
Mailing Address - Phone:262-564-0067
Mailing Address - Fax:262-652-1411
Practice Address - Street 1:5500 8TH AVE
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53140-3700
Practice Address - Country:US
Practice Address - Phone:262-564-0067
Practice Address - Fax:262-652-1411
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker