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Individual

REBECCA LYNN KANITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4200 N. HOLTON ST., SUITE 400, MILWAUKEE, WI 53212
(414) 964-2565
(414) 964-0102
Mailing address
4200 N. HOLTON STREET, SUITE 400, MILWAUKEE, WI 53212
(414) 964-2565
(414) 964-0102

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8113123
WI

Other

Enumeration date
08/14/2018
Last updated
08/14/2018
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