Individual
KIM LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1234 MAIN ST., ST 21, 3RD FLOOR, GREEN BAY, WI 54302
(920) 366-6993
Mailing address
1234 MAIN ST., ST 21, 3RD FLOOR, GREEN BAY, WI 54302
(920) 366-6993
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
01/23/2020
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