Individual
KATHRYN DEMIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6416 S HOWELL AVE, OAK CREEK, WI 53154-1104
(414) 304-5713
(414) 304-5721
Mailing address
3531 W CREST CT, FRANKLIN, WI 53132-9333
(262) 951-8480
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5534-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100026714
—
WI
Enumeration date
11/06/2012
Last updated
10/16/2015
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