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Organization

RACINE KENOSHA COMMUNITY ACTION AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON F SCHULZ (CEO)
(262) 637-8377
Entity
Organization

Contact information

Practice address
2000 63RD STREET, KENOSHA, WI 53143
(262) 657-0840
(262) 657-1631
Mailing address
2113 N WISCONSIN ST, RACINE, WI 53402-4774

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Enumeration date
12/01/2011
Last updated
12/01/2011
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