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Organization
CHILDREN'S HOSPITAL OF WISCONSIN
Active
Organization
CHILDREN'S HOSPITAL OF WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA MARIE KIEFER LPC (CHILD AND FAMILY THERAPIST II)
(262) 994-6884
Entity
Organization
Contact information
Practice address
8800 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3701
(262) 664-7423
Mailing address
8800 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3701
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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