Individual
KATHERINE SWEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 E GENEVA ST, DELAVAN, WI 53115-1922
(262) 728-6319
Mailing address
N3767 KENDALL CT, DELAVAN, WI 53115-3197
(262) 745-1367
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1616-26
WI
Other
Enumeration date
11/16/2013
Last updated
11/16/2013
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