Individual
ROCHELLE A KOTTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
320 S WALNUT ST, APPLETON, WI 54911-5918
(920) 832-5270
(920) 832-4767
Mailing address
320 S WALNUT ST, APPLETON, WI 54911-5918
(920) 832-1624
(920) 832-2185
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
128043
WI
1041C0700X
Clinical Social Worker
Primary
9837
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100100274
—
WI
Enumeration date
04/08/2020
Last updated
01/05/2022
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