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Individual

MRS. KIM L HENNINGSGARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CAPSW

Contact information

Practice address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-8000
Mailing address
778 S SHORE DR, AMERY, WI 54001-5100

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
103036301
WI

Other

Enumeration date
11/16/2011
Last updated
09/30/2022
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