Individual
KATHERINE SUE LIAROMATIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC-IT 17948-130
Contact information
Practice address
1622 CHESTNUT ST, WEST BEND, WI 53095-3014
(262) 306-9800
Mailing address
1612 VOGT DR, APARTMENT 102, WEST BEND, WI 53095-8517
(920) 344-9495
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
WI
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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