ANDREA K-P FAFFORD

KENOSHA, WI
NPI1255689022
Former NameANDREA K PERATT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  7912-123)
Enumeration Date2012-08-27
Last Update Date2020-07-13
Business Address
ANDREA K-P FAFFORD LCSW
6501 3RD AVE
KENOSHA, WI 53143-5111
Phone number: 262-914-6540
Mailing Address
ANDREA K-P FAFFORD LCSW
3708 16TH AVE
KENOSHA, WI 53140-2441
Phone number: 414-218-3413
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