Individual
CATHLEEN STARCK WILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1478 KENWOOD CTR, SUITE #1, MENASHA, WI 54952-1161
(920) 886-9319
Mailing address
439 LOWELL PL, NEENAH, WI 54956-4625
(920) 727-1899
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1490-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39684100
—
WI
Enumeration date
07/13/2006
Last updated
07/08/2007
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