Individual
KATHLEEN M BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
330 WOODLAND LN, OCONOMOWOC, WI 53066-2735
(262) 567-7480
Mailing address
330 WOODLAND LN, OCONOMOWOC, WI 53066-2735
(262) 567-7480
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7005-123
WI
Other
Enumeration date
10/16/2008
Last updated
09/30/2015
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