Individual
MS. KATHLEEN A NEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3970 N OAKLAND AVE, 502, MILWAUKEE, WI 53211-2265
(414) 332-9096
(414) 332-8596
Mailing address
3970 N OAKLAND AVE, 502, MILWAUKEE, WI 53211-2265
(414) 332-9096
(414) 332-8596
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
147123
WI
1041C0700X
Clinical Social Worker
149010724
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634461
BCBS
IL
05
—
39253100
—
WI
Enumeration date
05/03/2006
Last updated
07/09/2007
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