Individual
MS. KHLOE JEAN PIERCE-ODEBUNMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW, SAC
Contact information
Practice address
505 BROADWAY ST, BARABOO, WI 53913-2183
(608) 355-4200
Mailing address
505 BROADWAY ST, BARABOO, WI 53913-2183
(608) 355-4200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16215
WI
104100000X
Social Worker
Primary
131637
WI
Other
Enumeration date
01/16/2017
Last updated
04/28/2026
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