Individual
TINA KOHLS WANKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1855 S KOELLER ST, OSHKOSH, WI 54902-6214
(920) 223-7350
Mailing address
1855 S KOELLER ST, OSHKOSH, WI 54902-6214
(920) 223-7350
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7541-123
WI
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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