Individual
CHRISTINA CODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CAPSW
Contact information
Practice address
1710 LAWRENCE DR STE 200, DE PERE, WI 54115-9195
(920) 570-6339
Mailing address
27 SUNBEAM CT, APPLETON, WI 54915-4113
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
128054-121
WI
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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