Individual
KRISTIN ELIZABETH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAPSW DSPS 121-1146
Contact information
Practice address
1532 W BROADWAY STE 202, MONONA, WI 53713-1828
(608) 661-2829
(608) 661-0907
Mailing address
1532 W BROADWAY STE 202, MONONA, WI 53713-1828
(608) 661-2829
(608) 661-0907
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
121-1146
WI
Other
Enumeration date
09/27/2022
Last updated
09/28/2022
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