Individual
MS. KIMBERLY RANEE KRAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, ACSW
Contact information
Practice address
11600 N COMMUNITY HOUSE RD, SUITE 125, CHARLOTTE, NC 28277-2159
(704) 927-5885
(866) 372-5885
Mailing address
11600 N COMMUNITY HOUSE RD, SUITE #125, CHARLOTTE, NC 28277-2159
(704) 927-5885
(866) 372-5885
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12472
WI
1041C0700X
Clinical Social Worker
7169-123
WI
Other
Enumeration date
07/02/2006
Last updated
01/26/2012
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