Organization
KANO PSYCHOTHERAPY LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL ALLAN NEFF LCSW (VICE-PRESIDENT)
(414) 291-9184
Entity
Organization
Contact information
Practice address
1301 N ASTOR ST, MILWAUKEE, WI 53202-2887
(414) 291-9184
Mailing address
1301 N ASTOR ST, MILWAUKEE, WI 53202-2887
(414) 291-9184
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
684-123
WI
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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