Individual
KATHLEEN MULLOOLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 RIVERVIEW AVE, WAUKESHA, WI 53188-3632
(262) 896-6832
Mailing address
223 N 69TH ST, MILWAUKEE, WI 53213-3825
(414) 531-1534
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6806123
WI
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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