Individual
KELLY HOAGLUND ZUMSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 WILLIAM ST, RACINE, WI 53402-4263
(262) 865-4176
Mailing address
507 WILLIAM ST, RACINE, WI 53402-4263
(262) 865-4176
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
643-228
WI
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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