Individual
TERESA KLAVEKOSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 SAEMANN AVE, SHEBOYGAN, WI 53081-2342
(920) 783-6633
(920) 783-6392
Mailing address
PO BOX 959, SHEBOYGAN, WI 53082-0959
(920) 783-6633
(920) 783-6392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11431
WI
1041C0700X
Clinical Social Worker
Primary
3768
WI
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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