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Individual

KRISTINE G SCHMITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
2901 HUNTERS TRL, PORTAGE, WI 53901-3403
(608) 742-5518
Mailing address
1801 ABERG AVE, MADISON, WI 53704-4201
(608) 242-4857

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7369
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1144618604
WI
Enumeration date
01/06/2015
Last updated
03/12/2020
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