Individual
MARY ANDREA KISHLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3734 7TH AVE, SUITE 24, KENOSHA, WI 53140
(262) 654-0487
(262) 654-2434
Mailing address
3734 7TH AVE, SUITE 24, KENOSHA, WI 53140
(262) 654-0487
(262) 654-2434
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3427123
WI
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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