Individual
KATHRYN M DAGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
383 WILLIAMSTOWNE STE 101, DELAFIELD, WI 53018-2332
(262) 337-9770
(262) 337-9771
Mailing address
383 WILLIAMSTOWNE STE 101, DELAFIELD, WI 53018-2332
(262) 337-9770
(262) 337-9771
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10077-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912374190
CLINIC
WI
Enumeration date
12/15/2022
Last updated
12/15/2022
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