Individual
ELIZABETH ROSE KOSHATKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1849 N DOCTOR M.L.K. JR DR, #102, MILWAUKEE, WI 53212
(414) 347-1774
Mailing address
1875 E HIDDEN CREEK CT APT 202, OAK CREEK, WI 53154-4485
(563) 419-2903
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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