Individual
EDWARD RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8901 W CAPITOL DR, MILWAUKEE, WI 53222-1706
(262) 719-9325
Mailing address
W275N6474 OAK HILL CT, SUSSEX, WI 53089-3392
(262) 719-9235
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3487-123
WI
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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