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Individual

KRISTIN MARY HERRO MCCARTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
4402 S 68TH ST, #100, GREENFIELD, WI 53220-3479
(414) 321-4411
(414) 321-0552
Mailing address
12912 W GRAHAM ST, NEW BERLIN, WI 53151-2639
(262) 754-2743

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3485-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40919800
WI
Enumeration date
02/10/2007
Last updated
07/09/2007
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