Individual
CORI FENDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, SAC-IT
Contact information
Practice address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
(414) 328-8644
Mailing address
219 AIR PARK DR APT 14, WATERTOWN, WI 53094-7450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9213-123
WI
Other
Enumeration date
06/03/2016
Last updated
05/23/2019
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