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Individual

MS. CANZATA KIMBERLY DENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-IT

Contact information

Practice address
2727 W. CLEVELAND SUITE 204, MILWAUKEE, WI 53215
(414) 269-8356
(414) 455-1915
Mailing address
2727 W. CLEVELAND, SUITE 204, MILWAUKEE, WI 53215
(414) 269-8356
(414) 455-1915

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3500-226
WI

Other

Enumeration date
06/28/2017
Last updated
06/28/2017
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