Individual
JOY MARIE KIESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2829 ROYAL AVE, MADISON, WI 53713
(608) 661-2829
Mailing address
1705 NATIONAL AVE, MADISON, WI 53716-1960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8278
WI
Other
Enumeration date
12/31/2014
Last updated
07/20/2016
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