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Individual

MRS. ROXANNE MARIE GUENTHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, SASA

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13082
WI
1041C0700X
Clinical Social Worker
Primary
7037-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13082
CADC-D
WI
05
40949900
WI
01
7037-123
LCSW
WI
Enumeration date
09/16/2005
Last updated
02/08/2019
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