Individual
KATHRYN ANN RIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2713 ATWOOD AVE APT 201, MADISON, WI 53704-5744
(608) 630-9444
Mailing address
2713 ATWOOD AVE APT 201, MADISON, WI 53704-5744
(608) 630-9444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1402-132
WI
1041C0700X
Clinical Social Worker
Primary
2554-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39231200
—
WI
Enumeration date
03/28/2007
Last updated
04/25/2019
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