Individual
ANN FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6121 GREEN BAY RD STE 230, KENOSHA, WI 53142-2929
(262) 654-8366
(262) 842-0444
Mailing address
6121 GREEN BAY RD STE 230, KENOSHA, WI 53142-2929
(262) 654-8366
(262) 842-0444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7038-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40941900
—
WI
Enumeration date
10/26/2006
Last updated
10/05/2010
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