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NPI Code Detail

MEDICARE: CAROL JEAN KUISLE LICSW

MEDICARE: CAROL JEAN KUISLE LICSW
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 Worker576MN

General Provider Information

NPI Number : 1316388176
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL JEAN KUISLE LICSW
Provider Business Mailing Address
First Line : 1407 S STATE ST
Second Line :
City : NEW ULM
State : MN
Zip : 56073-3715
Country : US
Telephone Number : 507-354-3181
Fax Number : 507-354-3183
Provider Business Practice Location Address
First Line : 1301 MARSHALL ST
Second Line :
City : SAINT PETER
State : MN
Zip : 56082-4500
Country : US
Telephone Number : 507-934-2652
Fax Number : 507-934-2654
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2013
Last Update Date : 07/09/2013

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Directions to “ CAROL JEAN KUISLE LICSW” Practice Location

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