Individual
KIMBERLY CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
5325 W.BURLEIGH, MILWAUKEE, WI 53210
(414) 810-0550
Mailing address
109 W HADLEY ST, MILWAUKEE, WI 53212-2421
(414) 930-9286
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17086-130
WI
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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