Individual
GREGORY J KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6629 UNIVERSITY AVE STE 209, MIDDLETON, WI 53562-3037
(608) 833-5880
(608) 829-3787
Mailing address
6629 UNIVERSITY AVE STE 209, MIDDLETON, WI 53562-3037
(608) 833-5880
(608) 829-3787
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
880-123
WI
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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