Individual
MCKENNA GARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4650 W SPENCER ST, APPLETON, WI 54914-9106
(920) 903-1060
(920) 903-1060
Mailing address
4650 W SPENCER ST, APPLETON, WI 54914-9106
(920) 903-1060
(920) 903-1060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9818-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101583
—
WI
Enumeration date
07/13/2020
Last updated
09/09/2024
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