Individual
KENTRELL DEANDRE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1732 N PROSPECT AVE APT 207, MILWAUKEE, WI 53202-1945
(920) 728-2361
Mailing address
1732 N PROSPECT AVE APT 207, MILWAUKEE, WI 53202-1945
(920) 728-2361
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12130123
WI
Other
Enumeration date
11/22/2020
Last updated
06/03/2025
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