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Individual

KATHRYN ANN RIPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1402-132
WI
1041C0700X
Clinical Social Worker
Primary
2554-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39231200
WI
Enumeration date
03/28/2007
Last updated
04/25/2019
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