Individual
CARRIE JEAN LEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
920 60TH ST, KENOSHA, WI 53140-4041
(262) 654-5333
(262) 654-7818
Mailing address
920 60TH ST, KENOSHA, WI 53140-4041
(262) 654-5333
(262) 654-7818
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
128189121
WI
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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