Individual
KATHALEEN L DAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CADCIII
Contact information
Practice address
2500 HALL AVE, SUITE A MARINETTE COUNTY HEALTH AND HUMAN SERVICES, MARINETTE, WI 54143
(715) 732-7760
(715) 732-7711
Mailing address
2500 HALL AVE, SUITE A MARINETTE COUNTY HEALTH AND HUMAN SERVICES, MARINETTE, WI 54143
(715) 732-7760
(715) 732-7711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2552125
WI
1041C0700X
Clinical Social Worker
2552125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2552125
LICENSE #
WI
05
—
39348700
—
WI
Enumeration date
10/12/2006
Last updated
02/06/2008
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