Individual
KIM M DAVIS-RISLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW LCSW
Contact information
Practice address
895 DETTLOFF DR, ARCADIA, WI 54612-2600
(608) 785-0940
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3356
WI
Other
Enumeration date
06/11/2006
Last updated
05/21/2019
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