Individual
KAREN CARNABUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSS, LCSW, TEP
Contact information
Practice address
932 LAKE AVE, LAKE HOUSE HEALTH & LEARNING CENTER, RACINE, WI 53403-1519
(262) 633-2645
Mailing address
932 LAKE AVE., LAKE HOUSE HEALTH & LEARNING CENTER, RACINE, WI 53403
(262) 633-2645
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6834-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43596400
—
WI
Enumeration date
05/24/2007
Last updated
07/09/2007
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