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Individual

KAYLA E ZIEMBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APSW

Contact information

Practice address
442 N WESTHILL BLVD, STE B, APPLETON, WI 54914-5830
(920) 364-9668
(888) 625-8634
Mailing address
PO BOX 309, SIREN, WI 54872-0309
(715) 349-7069
(888) 625-8634

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131743-121
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1760009823
WI
Enumeration date
07/06/2020
Last updated
08/09/2021
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