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Individual

SIA MOUA KUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
926 SOUTH 8TH STREET, MANITOWOC, WI 54221-1177
(920) 683-4230
(920) 683-4908
Mailing address
PO BOX 1177, 926 SOUTH 8TH STREET, MANITOWOC, WI 54221-1177
(920) 683-4230
(920) 683-4908

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6233120
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43588100
WI
Enumeration date
04/22/2008
Last updated
04/22/2008
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