Individual
TIMOTHY CARL KOERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Mailing address
5010 LAUFENBERG BLVD, CROSS PLAINS, WI 53528-9268
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7148-123
WI
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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