Individual
MS. KATE BACHAUSEN MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
16535 W BLUEMOUND RD, SUITE 200, BROOKFIELD, WI 53005-5936
(262) 542-3255
(262) 821-6180
Mailing address
16365 LUELLA DR, BROOKFIELD, WI 53005-3505
(262) 853-5503
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1220-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40953100
—
WI
Enumeration date
10/21/2006
Last updated
06/11/2013
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