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Individual

ANN ELIZABETH KIRCHNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW LPC

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1221 125
WI
1041C0700X
Clinical Social Worker
Primary
2259 123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39629900
WI
Enumeration date
01/17/2007
Last updated
10/12/2020
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