Justin Kietzman

NPI #1063837417 in Reedsburg, Wisconsin

Provider Information

NPI Number
1063837417
Entity Type
Individual
Name
Justin Kietzman
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Enumeration Date
Feb 21, 2014
Last Updated
Jul 27, 2018

Practice Location

Address
425 6TH ST
ZIP Code
53959
Phone
(608) 524-7907

Specialties & Taxonomy Codes

Specialty
Technician, Other
Social Worker - ClinicalClinical

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