Individual
KRISTEN A PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3536 52ND ST, KENOSHA, WI 53144-2662
(262) 842-0538
Mailing address
3536 52ND ST, KENOSHA, WI 53144-2662
(262) 842-0538
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
131298-121
WI
1041C0700X
Clinical Social Worker
Primary
10108123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100153342
—
WI
01
—
131298-121
WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
08/25/2020
Last updated
01/15/2025
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