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Organization

NEXUS MOMENTUM PSYCHOTHERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYMBERLEE BLACKFORD LCSW (OWNER)
(414) 367-8494
Entity
Organization

Contact information

Practice address
2135 N 63RD ST, WAUWATOSA, WI 53213-2054
(414) 367-8494
Mailing address
777 N JEFFERSON ST, STE 408 PMB 1250, MILWAUKEE, WI 53202-1924
(414) 367-8494

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
12/19/2024
Last updated
01/31/2025
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