Individual
MARY E KEMMETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9720 W BLUEMAUND RD, MILWAUKEE, WI 53226
(414) 774-1794
(414) 774-1488
Mailing address
9720 W BLUEMAUND RD, MILWAUKEE, WI 53226
(414) 774-1794
(414) 774-1488
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2060 123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39587300
—
WI
Enumeration date
12/22/2006
Last updated
07/08/2007
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