Individual
REBECCA M KINNUNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
721 AMERICAN AVE, SUITE 501, WAUKESHA, WI 53188-5071
(262) 928-4036
(262) 928-5096
Mailing address
721 AMERICAN AVE STE 501, WAUKESHA, WI 53188-5071
(262) 928-4036
(262) 928-5096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2204070-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127679-121
WISCONSIN APSW LICENSE
WI
Enumeration date
06/20/2014
Last updated
10/14/2025
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