Individual
MS. ELAINE CATHERINE KLUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3263 EATON RD, GREEN BAY, WI 54311-6830
(920) 433-6700
(920) 433-6738
Mailing address
PO BOX 22040, GREEN BAY, WI 54305-2040
(920) 445-7226
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7039123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40939700
—
WI
Enumeration date
10/04/2006
Last updated
05/31/2022
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