Individual
MELISSA ANN KOHNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
N17W24222 RIVERWOOD, 170, PEWAUKEE, WI 53188
(833) 931-2767
(414) 677-7198
Mailing address
4276 GLENWAY STREET, WAWAUTOSA, WI 53222
(414) 614-4480
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11964-123
WI
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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