Individual
LAUREN WUENSTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2108 63RD ST, KENOSHA, WI 53143-4454
(262) 652-2406
(262) 652-2408
Mailing address
2108 63RD ST, KENOSHA, WI 53143-4454
(262) 652-2406
(262) 652-2408
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
130122-121
WI
1041C0700X
Clinical Social Worker
Primary
9383-123
WI
Other
Enumeration date
03/09/2017
Last updated
03/01/2022
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