Individual
MRS. OCTAVIA C KEMPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
25 KESSEL CT, STE 105, MADISON, WI 53711-6227
(608) 280-2440
(608) 280-2655
Mailing address
4729 HOOVER ST, OREGON, WI 53575-2834
(608) 280-2440
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7121123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40983000
—
WI
Enumeration date
11/20/2006
Last updated
08/17/2016
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