Individual
MS. KATHY CORLETT DAHLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2363 S 102ND STREET, SUITE #203, WEST ALLIS, WI 53227
(414) 545-1950
(414) 545-4168
Mailing address
W62 N248 WASHINGTON AVENUE, SUITE #207, CEDARBURG, WI 53012
(262) 375-1116
(262) 375-1071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1148123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40965000
—
WI
Enumeration date
01/26/2007
Last updated
07/08/2007
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