Individual
STACY KURKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7212
Mailing address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7212
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
129230-121
WI
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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