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Individual

KATHLEEN GRACE KLINGSEISEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.W., LCSW

Contact information

Practice address
E7475 RAWHIDE RD, NEW LONDON, WI 54961-9025
(877) 300-9101
(920) 982-5040
Mailing address
E7475 RAWHIDE RD, NEW LONDON, WI 54961-9025
(877) 300-9101
(920) 982-5040

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1730-123
WI
1041C0700X
Clinical Social Worker

Other

Enumeration date
12/04/2013
Last updated
12/04/2013
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