Individual
MR. KEVIN ROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 N PLANKINTON AVE, MILWAUKEE, WI 53203-1802
(414) 225-1540
(414) 225-1628
Mailing address
820 N PLANKINTON AVE, MILWAUKEE, WI 53203-1802
(414) 225-1540
(414) 225-1628
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2476-123
WI
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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