Individual
MS. SUE MARIE KAUFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
N5589 COMMERCE RD, STE.170A, ONALASKA, WI 54650-9266
(507) 474-0966
Mailing address
409 E LAKE BLVD, WINONA, MN 55987-5316
(507) 474-0966
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3310-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1241-121
ADVANCED PRACTICE SW
WI
01
—
3310-125
LPC
WI
05
—
39708300
—
WI
Enumeration date
05/30/2007
Last updated
07/09/2007
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