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Individual

KIMBERLY ROSE SCHWINGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
N64W24512 MAIN ST APT 3, SUSSEX, WI 53089-2600
(414) 550-4837
Mailing address
N64W24512 MAIN ST APT 3, SUSSEX, WI 53089-2600
(414) 550-4837

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8269-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S5245168487207
WI DRIVER'S LICENCE
WI
Enumeration date
10/15/2021
Last updated
10/15/2021
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