Individual
KYLE GREGORY PETRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
700 REGENT ST STE 302, MADISON, WI 53715-2634
(608) 441-3290
Mailing address
700 REGENT ST STE 302, MADISON, WI 53715-2634
(608) 441-3290
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
13466-120
WI
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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