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Individual

MRS. SUSAN KAY SEVENZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CISW

Contact information

Practice address
300 COTTONWOOD AVE, SUITE 4, HARTLAND, WI 53029-2043
(262) 367-2699
(262) 367-5228
Mailing address
300 COTTONWOOD AVE, SUITE 4, HARTLAND, WI 53029-2043
(262) 367-2699
(262) 367-5228

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
358-122
WI

Other

Enumeration date
08/08/2011
Last updated
08/08/2011
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