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Individual

KENNAN F HORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.W.,C.I.C.S.W

Contact information

Practice address
840 WILLARD DR, SUITE 201, GREEN BAY, WI 54304-5204
(920) 497-0788
Mailing address
840 WILLARD DR, SUITE 201, GREEN BAY, WI 54304-5204
(920) 497-0788

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1557-123
WI

Other

Enumeration date
01/23/2007
Last updated
11/07/2007
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