Individual
JOHN MICHAEL KITTELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, CAPSW
Contact information
Practice address
3900 W BROWN DEER RD, SUITE 200, BROWN DEER, WI 53209-1220
(414) 540-2170
(414) 540-2171
Mailing address
3900 W BROWN DEER RD, SUITE 200, BROWN DEER, WI 53209-1220
(414) 540-2170
(414) 540-2171
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
126959
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43720200
—
WI
Enumeration date
02/29/2008
Last updated
02/29/2008
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