Individual
KATHLEEN J BAHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW ACSW LSW
Contact information
Practice address
603 BEAUPRE ST, GREEN BAY, WI 54301-2412
(920) 435-1188
(920) 435-0276
Mailing address
603 SOUTH JEFFERSON STREET, GREEN BAY, WI 54301-2412
(920) 435-1188
(920) 432-0772
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
992123
WI
Other
Enumeration date
01/31/2007
Last updated
05/22/2015
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