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Individual

MS. PATRICIA GLATZEL CLOUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATR, LPC

Contact information

Practice address
203 E WISCONSIN AVE STE 302, OCONOMOWOC, WI 53066-3141
(414) 429-6403
(262) 354-0971
Mailing address
1085 REVERE DR, OCONOMOWOC, WI 53066-4422
(414) 429-6403
(262) 354-0839

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3398-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40961900
WI
Enumeration date
10/26/2005
Last updated
11/13/2025
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