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Individual

MARTIN KREUZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
2920 EAST AVE S, SUITE 101, LACROSSE, WI 54601-8282
(608) 784-8688
(608) 784-8684
Mailing address
2920 EAST AVE S, SUITE 101, LACROSSE, WI 54601-8282
(608) 784-8688
(608) 784-8684

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2814123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39314600
WI
Enumeration date
01/30/2007
Last updated
07/08/2007
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