Individual
MR. KEVIN RICHARD SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSSW. LCSW
Contact information
Practice address
407 S MAIN ST, VIROQUA, WI 54665-2100
(608) 637-3195
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7260-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43592900
—
WI
Enumeration date
06/25/2006
Last updated
04/21/2017
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