Individual
KAITLYN LORRAINE KIRTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
429 W BROADWAY AVE, MEDFORD, WI 54451-1608
(715) 748-4312
(715) 748-4407
Mailing address
429 W BROADWAY AVE, MEDFORD, WI 54451-1608
(715) 748-4312
(715) 748-4407
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
132364
WI
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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