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General NPI Number Information
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NPI Number | 1639063928
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Entity Type | Individual
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Provider Name | KIRSTEN GUNNARSON MSW, APSW
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Gender | Female
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 138 N MAIN ST STE 230
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City | RICE LAKE
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State | WI
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Zip | 54868-1774
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Country | US
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Telephone | 715-246-4840
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Fax | 715-254-9459
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Provider Business Mailing Address
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Address Line | 954 30TH ST
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City | CHETEK
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State | WI
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Zip | 54728-8031
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Country | US
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Telephone | 608-399-4643
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 135487-121
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License Number State | WI
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