WANDA J KENISTON

MIDDLETON, WI
NPI1457329336
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  3320)
Enumeration Date2006-03-08
Last Update Date2007-07-08
Business Address
-- WANDA J KENISTON MS
6717 STONE GLEN DR.
MIDDLETON, WI 53562
Phone number: 608-220-0738
Mailing Address
-- WANDA J KENISTON MS
709 E MAIN ST
STOUGHTON, WI 53589-1834
Phone number: 608-877-0268
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