Individual
KATHLEEN E ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
700 WEST AVENUE SOUTH, ATTN PHYSICIAN SERVICES, LACROSSE, WI 54601
(608) 785-0940
Mailing address
700 WEST AVENUE SOUTH, ATTN PHYSICIAN SERVICES, LACROSSE, WI 54601
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1366
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39596500
—
WI
Enumeration date
06/15/2006
Last updated
04/05/2013
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