Individual
MRS. TRACY L WILKE KOHLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
N5367 MAYFLOWER RD, SHIOCTON, WI 54170-8934
(920) 738-7795
(920) 986-3004
Mailing address
N5367 MAYFLOWER RD, SHIOCTON, WI 54170-8934
(920) 738-7795
(920) 986-3004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
126738-121
WI
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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