Individual
KURT KANANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APSW
Contact information
Practice address
3150 GERSHWIN DR, GREEN BAY, WI 54311-4328
(920) 391-4700
(920) 391-4731
Mailing address
3150 GERSHWIN DR, GREEN BAY, WI 54311-4328
(920) 391-4700
(920) 391-4731
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
134996
WI
Other
Enumeration date
10/12/2024
Last updated
10/12/2024
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