Individual
MRS. MARY ELIZABETH KLAHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
3801 N 88TH ST, MILWAUKEE, WI 53222-2706
(414) 466-9450
(414) 466-0730
Mailing address
3801 N 88TH ST, MILWAUKEE, WI 53222-2706
(414) 466-9450
(414) 466-0730
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11342-132
WI
104100000X
Social Worker
6198-120
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39169600
—
WI
Enumeration date
04/08/2008
Last updated
04/08/2008
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