Individual
JUSTIN KIETZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 6TH ST, REEDSBURG, WI 53959
(608) 524-7907
(608) 524-7980
Mailing address
425 6TH ST, REEDSBURG, WI 53959-1202
(608) 524-7907
(608) 524-7980
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4936
ND
247200000X
Other Technician
—
—
Other
Enumeration date
02/21/2014
Last updated
07/27/2018
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