Kremer, Andrea Mary

Kremer, Andrea Mary is an individual health care provider with primary practice located at 4402 S 68Th St Suite 100, Greenfield WI 53220-3479. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kremer, Andrea Mary can be contacted via phone (414) 321-4411.

Contact Information

Primary practice address
4402 S 68Th St Suite 100 Greenfield WI 53220-3479
Fax: (414) 321-0552
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7297-123 Wisconsin

Profile Details

NPI number 1407972730
LBN Legal business name Kremer, Andrea Mary
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407972730 NPPES
Wisconsin MEDICAID 43702500

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