Search › Wisconsin › 1041C0700X
Andrea Fafford, LCSW
NPI 1255689022 · on the registry since 2012 · sole proprietor
Practice
- Address
- 6501 3rd Ave
Kenosha, WI 53143 - Phone
- (262) 914-6540
- Fax
- (262) 997-1061
- Clinicians at this address
- 4
Additional practice sites
- 3708 16th Ave, Kenosha, WI
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin