Female

Renee L. Genin LCSW

Clinical Social Worker in Brookfield, WI(View on Map)

Full Name

Renee L Genin LCSW

NPI Number

1013185537

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/19/2008

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

7050-123

Contact
Information

Purpose

Mailing
Location

Address

13105 W BLUEMOUND RD
2515 N 124TH ST

City

Brookfield
Brookfield

State

WI
WI

Postal Code

53005-8022
53005-4675

Country

US
US

Telephone Number

(262) 641-9790
(262) 641-4347

Identifiers

Identifier

40954700
11828858

Identifier State

WI
WI

Identifier Issuer

Unknown
CAQH

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/11/2008

Provider Address

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