Individual
KALLIE RENEE GIRDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW, MSW, IDP-AT
Contact information
Practice address
4076 KOTHLOW AVE, MENOMONIE, WI 54751-3090
(715) 928-2345
Mailing address
711 29TH AVE NE APT 4, MENOMONIE, WI 54751-1012
(715) 928-2345
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
134417
WI
Other
Enumeration date
11/24/2023
Last updated
11/27/2023
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