Individual
MS. KATHLEEN LANEY VOGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4811 S 76TH ST, GREENFIELD, WI 53220-4364
(414) 817-0441
Mailing address
16535 W BLUEMOUND RD, BROOKFIELD, WI 53005-5936
(262) 789-1191
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
405-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39290400
—
WI
Enumeration date
12/11/2006
Last updated
07/08/2007
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