Individual
MRS. LORI KROENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW CSAC
Contact information
Practice address
2509 8TH STREET S, WISCONSIN RAPIDS, WI 54494
(715) 712-1523
Mailing address
3836 REDWOOD STREET, FENWOOD, WI 54426
(715) 352-2305
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16002-132
WI
1041C0700X
Clinical Social Worker
Primary
8634-123
WI
Other
Enumeration date
07/09/2014
Last updated
11/14/2016
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