Individual
MS. KIMBERLY T NODOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1233 N MAYFAIR RD, SUITE 206, WAUWATOSA, WI 53226-3255
(414) 302-1233
Mailing address
N77W17085 OVERLOOK TRL, MENOMONEE FALLS, WI 53051-4186
(414) 217-6949
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3618-125
WI
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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