Individual
KACEY M LOMBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
304 BICKFORD ST, NEW LISBON, WI 53950-1533
(608) 562-3976
Mailing address
524 2ND ST, REEDSBURG, WI 53959-1614
(608) 415-2667
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
131274-121
WI
1041C0700X
Clinical Social Worker
Primary
9676
WI
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
09/19/2017
Last updated
09/12/2022
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