Individual
KELLY J KOVNESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
810 LINCOLN ST, KEWAUNEE, WI 54216-1140
(920) 388-7030
(920) 388-7124
Mailing address
810 LINCOLN ST, KEWAUNEE, WI 54216-1140
(920) 388-7030
(920) 388-7124
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4534-226
WI
Other
Enumeration date
08/10/2020
Last updated
01/06/2021
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