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NPI Code Detail

MEDICARE: KENDRA REZNER APSW

MEDICARE:   KENDRA  REZNER  APSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker130203WI

General Provider Information

NPI Number : 1154871291
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDRA REZNER APSW
Provider Business Mailing Address
First Line : N3152 STATE ROAD 81
Second Line :
City : MONROE
State : WI
Zip : 53566-8821
Country : US
Telephone Number : 608-328-9393
Fax Number : 608-328-9480
Provider Business Practice Location Address
First Line : N3152 STATE ROAD 81
Second Line :
City : MONROE
State : WI
Zip : 53566-8821
Country : US
Telephone Number : 608-328-9393
Fax Number : 608-324-9480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2016
Last Update Date : 04/24/2025

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Directions to “ KENDRA REZNER APSW” Practice Location

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