Individual
KRISTIN ENSMINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
116 SIMON CRESTWAY, WAUNAKEE, WI 53597-1731
(303) 880-6392
Mailing address
116 SIMON CRESTWAY, WAUNAKEE, WI 53597-1731
(303) 880-6392
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
00992696
CO
1041C0700X
Clinical Social Worker
Primary
8495-123
WI
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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