Individual
MRS. KATHERINE ANNE CHAGANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
320 S WALNUT ST, APPLETON, WI 54911-5918
(920) 832-5270
(920) 832-4767
Mailing address
320 S WALNUT ST, APPLETON, WI 54911-5918
(920) 832-4741
(920) 832-2185
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8929
WI
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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