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1033295571
RUSSELL WILLIAM KINKADE
RACINE, WI
NPI
1033295571
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Other Name
RUSS KINKADE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WI 1296)
Enumeration Date
2006-10-27
Last Update Date
2023-05-30
Business Address
Dr. RUSSELL WILLIAM KINKADE PsyD
6214 WASHINGTON AVENUE SUITE C 10
RACINE, WI 53406
Phone number: 262-989-5228
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Mailing Address
Dr. RUSSELL WILLIAM KINKADE PsyD
S55W29307 HOLIDAY POINT
WAUKESHA, WI 53189-9026
Phone number: 262-989-5228
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