Individual
MR. KENNETH G UTECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3313 PACKERLAND DR, SUITE D, DE PERE, WI 54115-6810
(920) 983-0707
(920) 983-0700
Mailing address
3313 PACKERLAND DR, SUITE D, DE PERE, WI 54115-6810
(920) 983-0707
(920) 983-0700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
393-123
WI
106H00000X
Marriage & Family Therapist
Primary
74124
WI
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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