Individual
KATHLEEN AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
383 WILLIAMSTOWNE STE 101, DELAFIELD, WI 53018-2332
(262) 337-9770
(262) 337-9771
Mailing address
383 WILLIAMSTOWNE STE 101, DELAFIELD, WI 53018-2332
(262) 337-9770
(262) 337-9771
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
128071-121
WI
1041C0700X
Clinical Social Worker
Primary
9996-123
WI
Other
Enumeration date
06/04/2019
Last updated
08/11/2022
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