Individual
KENNETH AHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1110 7TH AVE, CUMBERLAND, WI 54829-9138
(715) 822-2741
(715) 822-6103
Mailing address
1110 7TH AVE, CUMBERLAND, WI 54829-9138
(715) 822-2741
(715) 822-6103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
719123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39772200
—
WI
Enumeration date
04/09/2007
Last updated
07/08/2007
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