Individual
DAWN MARIE KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Contact information
Practice address
4810 S 76TH ST, SUITE 106, GREENFIELD, WI 53220-4360
(414) 282-8353
(414) 282-8353
Mailing address
4810 S 76TH ST, SUITE 106, GREENFIELD, WI 53220-4360
(414) 282-8353
(414) 282-8353
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2727-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11441516
CAQH #
WI
Enumeration date
07/25/2006
Last updated
07/08/2007
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