Individual
KELLY LINDENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5455 SHERIDAN RD STE LL10, KENOSHA, WI 53140-3752
(262) 909-0356
(262) 551-3911
Mailing address
5556 31ST AVE, KENOSHA, WI 53144-2804
(262) 909-0356
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
8701
WI
1041C0700X
Clinical Social Worker
Primary
8701-123
WI
106H00000X
Marriage & Family Therapist
556-228
WI
Other
Enumeration date
08/18/2016
Last updated
01/01/2024
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