Individual
MS. KARLA J BIDSTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4810 NORTHWESTERN AVE, MOUNT PLEASANT, WI 53406-1504
(262) 637-9984
Mailing address
4810 NORTHWESTERN AVE, MOUNT PLEASANT, WI 53406-1504
(262) 637-9984
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1410-123
WI
Other
Enumeration date
10/19/2009
Last updated
09/12/2019
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