Individual
MS. KIM S CHARNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 N MAIN ST STE 103, OSHKOSH, WI 54901-5262
(920) 385-1420
(866) 327-3295
Mailing address
100 N MAIN ST STE 103, OSHKOSH, WI 54901-5262
(203) 851-4209
(866) 327-3295
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6940
WI
1041C0700X
Clinical Social Worker
6940-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41001800
—
WI
Enumeration date
08/07/2006
Last updated
12/09/2024
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