Individual
RAY WOODSON KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
741 N GRAND AVE, #302, WAUKESHA, WI 53186-4820
(262) 542-3255
(262) 542-0823
Mailing address
W344S8780 WHITETAIL DR, EAGLE, WI 53119-2318
(262) 391-5561
(262) 542-0823
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4034-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4034-123
LICENSED CLINICAL SOCIAL
WI
Enumeration date
12/21/2006
Last updated
07/08/2007
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