VIRGINIA V FENNEMA

KENOSHA, WI
NPI1376560946
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WI  1507-123)
Enumeration Date2006-07-17
Last Update Date2007-07-08
Business Address
-- VIRGINIA V FENNEMA MSW, LCSW
6121 GREEN BAY RD SUITE 220
KENOSHA, WI 53142-2926
Phone number: 262-652-7222
Mailing Address
-- VIRGINIA V FENNEMA MSW, LCSW
6121 GREEN BAY RD SUITE 220
KENOSHA, WI 53142-2926
Phone number: 262-652-7222
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