Individual
KATHERINE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3956
(920) 929-7110
Mailing address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3956
(920) 929-7110
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
724406
WI
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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