| Doctor Name: | RENEE L GENIN |
| NPI Number: | 1013185537 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 7050-123 |
| Business Practice Address: | 2515 N 124th St Suite 101 Brookfield, WI - 530054675 |
| Business Phone Number: | 2626414347 |
| Business Fax Number: | |
| Mailing Address: | 13105 W Bluemound Rd, Suite 100 BROOKFIELD |
| State: | WI |
| Postal Code: | 530058022 |
| Phone Number: | 2626419790 |
| Fax Number: | 2626419791 |
| NPI Enumeration Date: | 02/19/2008 |
| NPI Last Update Date: | 03/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 7050-123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |