Individual
ANNE J LUPO GONDWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
24178 1ST AVE STE 2, SIREN, WI 54872-8220
(715) 349-8913
(715) 349-8981
Mailing address
PO BOX 381, SIREN, WI 54872-0381
(715) 349-8913
(715) 349-8981
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
132006121
WI
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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