Individual
KRISTEN NELSEN DE JUNCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
W156N8327 PILGRIM RD, MENOMONEE FALLS, WI 53051-3776
(262) 251-1112
(262) 251-1113
Mailing address
W156 N8327 PILGRIM RD, MENOMONEE FALLS, WI 53051
(262) 251-1112
(262) 251-1113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6994-123
WI
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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