Individual
NANCY ELLEN KOENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2801 CALUMET DR, SHEBOYGAN, WI 53083-3839
(920) 451-6908
Mailing address
2801 CALUMET DR, SHEBOYGAN, WI 53083-3839
(920) 451-6908
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7765-123
WI
Other
Enumeration date
06/27/2013
Last updated
08/26/2013
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