Individual
MS. PATRICIA R KEUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
400 W RIVER DRIVE, WEST BEND, WI 53090
(262) 338-2717
(262) 338-9767
Mailing address
400 W RIVER DRIVE, WEST BEND, WI 53090
(262) 338-2717
(262) 338-9767
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1835
WI
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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