Individual
KENNETH WILLIAM STREGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT
Contact information
Practice address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 723-2830
(920) 723-2830
Mailing address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 723-2830
(920) 723-2830
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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