Individual
LEE A KUTCHENRITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-2300
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 720-2300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801101371
—
1041C0700X
Clinical Social Worker
Primary
9930-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100089227
—
WI
Enumeration date
08/16/2017
Last updated
05/26/2023
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