Individual
SUE A KOHNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1407 SAINT ANDREW ST, SUITE 100, LA CROSSE, WI 54603-3301
(608) 785-6266
Mailing address
36493 HANCOCK ST, PO BOX 594, WHITEHALL, WI 54773-8641
(715) 538-4454
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
593-120
WI
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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