Individual
GERALDINE LUCIA VENEMAN-FIESCHKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3526 SABAKA TRL, VERONA, WI 53593-9565
(608) 622-8020
Mailing address
3526 SABAKA TRL, VERONA, WI 53593-9565
(608) 622-8020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8031-123
WI
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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