Individual
KATHRYN L BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QTT
Contact information
Practice address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 404-2250
Mailing address
E7475 RAWHIDE RD, NEW LONDON, WI 54961-9025
(877) 300-9101
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
131231-121
WI
1041C0700X
Clinical Social Worker
Primary
12121-123
WI
Other
Enumeration date
09/21/2018
Last updated
01/08/2026
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