Individual
ANTIGONA BAJRAKTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
4109 67TH ST, KENOSHA, WI 53142-3836
(262) 652-9830
Mailing address
4109 67TH ST, KENOSHA, WI 53142-3836
(262) 652-9830
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131864-121
WI
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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