Individual
KRISTEN LUNGREN-RABIDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7212
Mailing address
26151 S WIND LAKE RD, WIND LAKE, WI 53185-2247
(414) 218-6400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11543-123
WI
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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