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Individual

MRS. CAROL LYNN MARIE REICHARDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
W3275 WOLF RIVER DR, KESHENA, WI 54135-9202
(715) 799-3361
(715) 799-5854
Mailing address
PO BOX 970, KESHENA, WI 54135-0970
(715) 799-3361
(715) 799-5854

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3057-123
WI
1041C0700X
Clinical Social Worker
Primary
3057-123
WI

Other

Enumeration date
05/21/2009
Last updated
04/24/2018
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