JUSTIN KIETZMAN

REEDSBURG, WI
NPI1063837417
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ND  4936)
Additional Taxonomies247200000X 
Enumeration Date2014-02-21
Last Update Date2018-07-27
Business Address
JUSTIN KIETZMAN
425 6TH ST
REEDSBURG, WI 53959
Phone number: 608-524-7907
Mailing Address
JUSTIN KIETZMAN
425 6TH ST
REEDSBURG, WI 53959-1202
Phone number: 608-524-7907
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