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Individual

MS. HEIDI LYNN KAHLSTORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
MEMORIAL MEDICAL CENTER INC, 1635 MAPLE LANE, ASHLAND, WI 54806-3610
(715) 585-5400
(715) 685-5102
Mailing address
MEMORIAL MEDICAL CENTER INC, 1635 MAPLE LANE, ASHLAND, WI 54806-3610
(715) 585-5400
(715) 685-5102

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1147
WI
106H00000X
Marriage & Family Therapist
1615
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000006920
WI
Enumeration date
08/22/2006
Last updated
03/24/2023
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