Individual
KATHERINE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
549 KEDZIE ST, MADISON, WI 53704-4834
(608) 512-2513
Mailing address
549 KEDZIE ST, MADISON, WI 53704-4834
(608) 512-2513
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4562-125
WI
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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