Individual
CHERYL K ROTHERHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.C.S.W.
Contact information
Practice address
840 WILLARD DR, SUITE 102, GREEN BAY, WI 54304-5204
(920) 497-0788
(920) 497-0792
Mailing address
840 WILLARD DR, SUITE 102, GREEN BAY, WI 54304-5204
(920) 497-0788
(920) 497-0792
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1576-123
WI
Other
Enumeration date
01/23/2007
Last updated
01/09/2014
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