Individual
ELIZABETH MARIE KINNISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2560 E MAIN ST, REEDSBURG, WI 53959-9472
(608) 886-9023
Mailing address
PO BOX 454, WAUNAKEE, WI 53597-0454
(608) 886-9023
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12240123
WI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/09/2019
Last updated
05/09/2025
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