Individual
ABBEY LYNN GWINNUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
601 LAKE AVE STE 101C, RACINE, WI 53403-1249
(262) 994-0920
Mailing address
6601 28TH AVE, KENOSHA, WI 53143-4613
(262) 994-0920
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9976
WI
Other
Enumeration date
08/05/2022
Last updated
11/29/2022
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