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NPI Code Detail

MEDICARE: MRS. CALLIE ANN KRAUEL MSW

MEDICARE:  MRS. CALLIE ANN KRAUEL  MSW
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 Worker6823-123WI

General Provider Information

NPI Number : 1174507982
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CALLIE ANN KRAUEL MSW
Provider Business Mailing Address
First Line : 323 S 18TH AVE
Second Line :
City : STURGEON BAY
State : WI
Zip : 54235-1401
Country : US
Telephone Number : 920-746-0510
Fax Number :
Provider Business Practice Location Address
First Line : 323 S 18TH AVE
Second Line :
City : STURGEON BAY
State : WI
Zip : 54235-1401
Country : US
Telephone Number : 920-746-0510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 01/09/2023

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Directions to “ MRS. CALLIE ANN KRAUEL MSW” Practice Location

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