Individual
GARY ALLEN KIEDROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ISP
Contact information
Practice address
320 W GRAND AVE., CENTRAL WISCONSIN COUNSELING SUITE 304A, WISCONSIN RAPIDS, WI 54495-2781
(715) 424-6960
(715) 424-6963
Mailing address
320 W GRAND AVE., CENTRAL WISCONSIN COUNSELING SUITE 304A, WISCONSIN RAPIDS, WI 54495-2781
(715) 424-6960
(715) 424-6963
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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