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Individual

DAVID KOHLMEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
17 S. RIVER ST., SUITE 254, JANESVILLE, WI 53548
(608) 755-5260
(608) 755-5267
Mailing address
17 S. RIVER ST., SUITE 254 CROSSROAD COUNSELING CENTER, JANESVILLE, WI 53548
(608) 755-5260
(608) 755-5267

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4105-125
WI

Other

Enumeration date
10/08/2008
Last updated
10/08/2008
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