Kevin P Lunog LPC, LCSW

NPI 1790958973 - Social Worker - 1041C0700X

NPI Details
NPI 1790958973
Gender Male
Enumeration Date 04/08/2008
Last Updated 11/10/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
3150 GERSHWIN DRIVE
GREEN BAY WI, 54311-5859, US
Phone (920) 391-6959
Fax (920) 391-4870
Business Location
3150 GERSHWIN DRIVE
GREEN BAY WI, 54311-5859, US
Phone (920) 391-6959
Fax (920) 391-4870
Toxanomy
Taxonomy Code 1041C0700X
License State Wisconsin
License Number 3191
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According to our database, Kevin P Lunog LPC, LCSW NPI is 1790958973, taxonomy code is 1041C0700X and license number is 3191, license state is located at Wisconsin. Kevin P Lunog LPC, LCSW physically located at 3150 Gershwin Drive, Green Bay WI, 54311-5859. NPI Number Kevin P Lunog LPC, LCSW has the Individual type.

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1790958973 NPI number is provided on an as is basis without warranty of any kind. 1790958973 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin P Lunog LPC, LCSW are for informational purposes only.