Individual
MS. KATHLEEN ANN GOODREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
930 9TH ST., WAUPACA, WI 54981
(715) 281-8524
Mailing address
930 9TH ST, WAUPACA, WI 54981-1907
(715) 281-8524
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
266223
WI
Other
Enumeration date
11/14/2008
Last updated
04/13/2009
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