Individual
ERICK LICHTE KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
840 US-12 #1, BARABOO, WI 53913
(608) 477-9858
Mailing address
840 US-12 #1, BARABOO, WI 53913
(608) 477-9858
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2-125
WI
104100000X
Social Worker
Primary
3613-123
WI
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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